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Contact Information

LUCKYCHARM PRIMARY CARE PLLC
3521 N FOURTH STREET, SUITE 100
LONGVIEW, TX75605
 Phone: 903-448-2273
 Fax: 773-825-8352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LUCKYCHARM PRIMARY CARE PLLC

NPI Number 1336935857
LBN Legal business name LUCKYCHARM PRIMARY CARE PLLC
Authorized official UCHENNE MBARAONYE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/21/2025
Last updated 12/29/2025 - About 5 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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