Direct Primary Care in Texas LLC
NPI 1942806773ActiveOrganization· Internal Medicine· Fort Worth, TX
Internal Medicine in Fort Worth, Texas, registered in NPPES in December 2020. The authorized official on file is Michele Graham, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1942806773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2020 |
| Last updated in NPPES | Feb 8, 2023 |
| Certified by provider | Feb 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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