CENTERWELL SENIOR PRIMARY CARE- TIDWELL
NPI 1033741616
Internal Medicine in Houston, TX

Q: What is Centerwell Senior Primary Care (tx) PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 11, 2020CLIA 45D2181755 · Waiver

9417 MESA DR STE A, HOUSTON, TX 77028(713) 848-7780(833) 710-0641 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2022, Mar 2, 2021, Jan 12, 2021 and 2 more (5 updates tracked since 2020).

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About Centerwell Senior Primary Care- Tidwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE- TIDWELL (NPI 1033741616) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1033741616

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE (TX) PA

Location Address9417 MESA DR STE AHouston, TX 77028-1253

Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120 · Fax (407) 770-0661

Phone(713) 848-7780

Fax(833) 710-0641

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateFebruary 11, 2020

Last NPPES UpdateOctober 18, 20225 updates tracked since enumeration

NPPES CertifiedOctober 18, 2022

✔ NPI 1033741616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

9417 MESA DR STE A, Houston, TX 77028

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Other Names 4

Doing Business AsCenterwell Senior Primary Care- Tidwell

Doing Business AsPartners In Primary Care-tidwell

Former Legal Business NamePartners In Primary Care Tx, Pa

Former Legal Business NamePartners In Primary Care Ks, Pa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2181755

Centerwell Senior Primary Care (tx) PA Dba Centerwell Senior Primary Care-Tidwell · Houston, TX

Active · expires Apr 9, 2028

CLIA Number45D2181755

Laboratory TypePhysician Office

Certificate Effective DateApril 10, 2026

Certificate Expiration DateApril 9, 2028

Laboratory DirectorDr. Aymer Al-Mutairi

Laboratory Phone(713) 848-7780

Laboratory LocationCenterwell Senior Primary Care (tx) PA Dba Centerwell Senior Primary Care-Tidwell9417 Mesa Drive Suite A, Houston, TX 77028

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE SOLVEIG JOHNSON M.D.

Internal Medicine

9417 MESA DR STE A
HOUSTON, TX 77028

Harris County (713) 848-7780

GINA RENEA STUBBS DO

Family Medicine

9417 MESA DR STE A
HOUSTON, TX 77028

Harris County (713) 848-7780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Senior Primary Care (tx) PA's NPI number?

The NPI number for Centerwell Senior Primary Care (tx) PA is 1033741616. It was assigned to this organization in the NPPES registry on February 11, 2020. The provider is doing business as Centerwell Senior Primary Care- Tidwell and Partners in Primary Care-Tidwell. The provider was formerly known as Partners In Primary Care TX, PA and Partners in Primary Care KS, PA.

Where is Centerwell Senior Primary Care (tx) PA located?

Centerwell Senior Primary Care (tx) PA is located at 9417 Mesa Dr Ste A, Houston, TX 77028. The listed phone number is (713) 848-7780.

What is Centerwell Senior Primary Care (tx) PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care (tx) PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2181755) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (tx) PA was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.