PURPLE HEARTS PRIMARY CARE SERVICES, PLLC
NPI 1043703358
Clinic/Center - Primary Care in Grand Prairie, TX

Active since June 11, 2018
688 W PIONEER PKWY STE 120, GRAND PRAIRIE, TX 75051(817) 969-4651(214) 710-2188 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2020, May 16, 2020, Feb 6, 2020 and 3 more (6 updates tracked since 2018).

About Purple Hearts Primary Care Services, Pllc NPPES

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

PURPLE HEARTS PRIMARY CARE SERVICES, PLLC (NPI 1043703358), doing business as Purple Hearts Primary Care Services, is a healthcare organization registered as a primary care in Grand Prairie, Texas and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Arlington and lists Raven Modisette, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043703358
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePURPLE HEARTS PRIMARY CARE SERVICES, PLLC
Location Address688 W PIONEER PKWY STE 120Grand Prairie, TX 75051-4861
Mailing Address3901 Arlington Highlands Blvd Ste 281Arlington, TX 76018-6036 · (817) 969-4651 · Fax (214) 710-2188
Fax(214) 710-2188
Organization SubpartNo
Authorized OfficialRaven ModisetteCeo · (817) 969-4651
Enumeration DateJune 11, 2018
Last NPPES UpdateDecember 7, 20206 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
NPI 1043703358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TX · AP137299
688 W PIONEER PKWY STE 120, Grand Prairie, TX 75051

Other Names 1

Former Legal Business NamePurple Hearts Primary Care Services

Secondary Practice Location 1

Location 13901 Arlington Highlands Blvd Ste 200Arlington, TX 76018 · Phone (817) 695-5035

Other Identifiers 1

Medicaid393575101TX

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Community Health)
688 W PIONEER PKWY STE 120
GRAND PRAIRIE, TX 75051

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 Purple Hearts Primary Care Services, PLLC's NPI number?

The NPI number for Purple Hearts Primary Care Services, PLLC is 1043703358. It was assigned to this organization in the NPPES registry on June 11, 2018. The provider was formerly known as Purple Hearts Primary Care Services.

Where is Purple Hearts Primary Care Services, PLLC located?

Purple Hearts Primary Care Services, PLLC is located at 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051. The listed phone number is (817) 969-4651.

What is Purple Hearts Primary Care Services, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Purple Hearts Primary Care Services, PLLC accept?

Health plans from WellPoint list Purple Hearts Primary Care Services, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Purple Hearts Primary Care Services, PLLC was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.