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Contact Information

PRIMECARE DIRECT LLC
955 PIERREMONT RD STE 400
SHREVEPORT, LA71106-2096
 Phone: 318-562-3868
 Fax: 318-409-1565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PRIMECARE DIRECT LLC

NPI # 1538057567
LBN Legal business name PRIMECARE DIRECT LLC
Authorized official TRI PHAM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2025
Last updated 06/27/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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