National Provider Identifier Database

KELLYS PRIMARY CARE INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

KELLY'S PRIMARY CARE, INC
2009 N CONWAY AVE
MISSION, TX78572-2965
Phone: 956-583-0141
Fax: 956-583-0143
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for KELLY'S PRIMARY CARE, INC

NPI Number 1083749824
Legal business name
LBN
KELLY'S PRIMARY CARE, INC
Authorized official JAYNIE CHAPA - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/22/2007
Last updated 06/07/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 006524
  • TX Medicaid: 000017300
  • TX Medicaid: 001012821
  • TX Medicaid: 185365701

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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