KELLY'S PRIMARY CARE, INC
NPI 1083749824
Preferred Provider Organization in Mission, TX

Active since February 22, 2007
2009 N CONWAY AVE, MISSION, TX 78572(956) 583-0141(956) 583-0143 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly's Primary Care, Inc NPPES

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

KELLY'S PRIMARY CARE, INC (NPI 1083749824) is a healthcare organization registered as a preferred provider organization in Mission, Texas and active in the NPI registry since February 2007. The organization lists Jaynie Chapa, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083749824
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameKELLY'S PRIMARY CARE, INC
Location Address2009 N CONWAY AVEMission, TX 78572-2965
Mailing Address2007 N Conway AveMission, TX 78572 · (956) 583-0141 · Fax (956) 583-0143
Fax(956) 583-0143
Organization SubpartNo
Authorized OfficialJaynie ChapaAdministrator · (956) 583-0141
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJune 7, 2011
NPI 1083749824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in TX · 006524
Definition
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.
2009 N CONWAY AVE, Mission, TX 78572

Other Identifiers 3

Medicaid001012821TX
Medicaid185365701TX
Medicaid000017300TX

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
2009 N CONWAY AVE
MISSION, TX 78572
Counselor (Professional)
2009 N CONWAY AVE
MISSION, TX 78572
Counselor (Professional)
2009 N CONWAY AVE
MISSION, TX 78572

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 Kelly's Primary Care, Inc's NPI number?

The NPI number for Kelly's Primary Care, Inc is 1083749824. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Kelly's Primary Care, Inc located?

Kelly's Primary Care, Inc is located at 2009 N Conway Ave, Mission, TX 78572. The listed phone number is (956) 583-0141.

What is Kelly's Primary Care, Inc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Kelly's Primary Care, Inc was last updated on June 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.