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CENTERWELL SENIOR PRIMARY CARE- JACINTO CITY
NPI 1083272967
Internal Medicine in Houston, TX

Active since June 05, 2019CLIA 45D2169141 · Waiver
1910 JOHN RALSTON RD STE 200, HOUSTON, TX 77013(713) 673-9000(855) 895-8185 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2022, Mar 2, 2021, Jan 12, 2021 and 3 more (6 updates tracked since 2019).

About Centerwell Senior Primary Care- Jacinto City NPPES

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

CENTERWELL SENIOR PRIMARY CARE- JACINTO CITY (NPI 1083272967) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1083272967
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (TX) PA
Location Address1910 JOHN RALSTON RD STE 200Houston, TX 77013-5531
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120 · Fax (407) 770-0661
Phone(713) 673-9000
Fax(855) 895-8185
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJune 5, 2019
Last NPPES UpdateOctober 18, 20226 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1083272967 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
1910 JOHN RALSTON RD STE 200, Houston, TX 77013
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Other Names 4

Doing Business AsCenterwell Senior Primary Care- Jacinto City
Doing Business AsPartners In Primary Care- Jacinto City
Former Legal Business NamePartners In Primary Care Ks, Pa
Former Legal Business NamePartners In Primary Care Tx, 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 45D2169141

Centerwell Senior Primary Care (tx) PA Dba Centerwell Senior Primary Care-Jacinto City · Houston, TX
Active · expires Jul 15, 2027
CLIA Number45D2169141
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorDr. Aymer Al-Mutairi
Laboratory Phone(713) 673-9000
Laboratory LocationCenterwell Senior Primary Care (tx) PA Dba Centerwell Senior Primary Care-Jacinto City1910 John Ralston Road Suite 200, Houston, TX 77013
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 4

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

DR. MARY GONZALES MERCADO M.D.
Internal Medicine (Cardiovascular Disease)
1910 JOHN RALSTON RD STE 200
HOUSTON, TX 77013
Harris County (713) 673-9000
MARCO ANTONIO GAMEZ
Nurse Practitioner (Family)
1910 JOHN RALSTON RD STE 200
HOUSTON, TX 77013
Harris County (713) 673-9000
CORINA GARCIA SERNA NURSE PRACTITIONER
Nurse Practitioner (Gerontology)
1910 JOHN RALSTON RD STE 200
HOUSTON, TX 77013
Harris County (713) 673-9000
JENNIFER GWENDOLYN UTOH M.D.
Family Medicine
1910 JOHN RALSTON RD STE 200
HOUSTON, TX 77013
Harris County (713) 673-9000

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 1083272967. It was assigned to this organization in the NPPES registry on June 5, 2019. The provider is doing business as Centerwell Senior Primary Care- Jacinto City and Partners in Primary Care- Jacinto City. The provider was formerly known as Partners In Primary Care KS, PA and Partners In Primary Care TX, PA.

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

Centerwell Senior Primary Care (tx) PA is located at 1910 John Ralston Rd Ste 200, Houston, TX 77013. The listed phone number is (713) 673-9000.

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 45D2169141) is associated with this NPI, valid through July 15, 2027. 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.