1. Home
  2. Directory
  3. Texas
  4. Grand Prairie
  5. Family Medicine
  6. NPI Profile

TEXAS PHYSICIANS PRIMARY CARE, PLLC
NPI 1417403957
Family Medicine in Grand Prairie, TX

Active since August 25, 2016CLIA 45D2130511 · Waiver
2100 VIRGINIA ST, SUITE G, GRAND PRAIRIE, TX 75051(972) 264-2331 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Texas Physicians Primary Care, Pllc NPPES

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

TEXAS PHYSICIANS PRIMARY CARE, PLLC (NPI 1417403957) is a healthcare organization registered as a family medicine in Grand Prairie, Texas and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Scott Moore, Officer, as its authorized official.

NPPES Registry Identity

NPI1417403957
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTEXAS PHYSICIANS PRIMARY CARE, PLLC
Location Address2100 VIRGINIA ST, SUITE GGrand Prairie, TX 75051-3796
Mailing Address6110 Dalrock RdRowlett, TX 75088-4402 · (972) 526-5444
Phone(972) 264-2331
Organization SubpartNo
Authorized OfficialScott MooreOfficer · (214) 986-5239
Enumeration DateAugust 25, 2016
✔ NPI 1417403957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2100 VIRGINIA ST, Grand Prairie, TX 75051
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2130511

Texas Physicians Primary Care · Grand Prairie, TX
Active · expires May 9, 2027
CLIA Number45D2130511
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorMario G. Gonzalez
Laboratory Phone(972) 264-2331
Laboratory LocationTexas Physicians Primary Care2100 Virgina Drive, Suite D, Grand Prairie, TX 75051
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. FRED ARNOLD STERNBERG D.P.M.
Podiatrist
2100 VIRGINIA ST
GRAND PRAIRIE, TX 75051
Dallas County (972) 264-3431
ANASTASIA NANYONGO MATUTE
Nurse Practitioner (Psychiatric/Mental Health)
2100 VIRGINIA ST
GRAND PRAIRIE, TX 75051
Dallas County (405) 436-1909
ROBERT BRANDON YOCOM PTA
Physical Therapy Assistant
2100 VIRGINIA ST
GRAND PRAIRIE, TX 75051
Dallas County (972) 992-0190

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 Texas Physicians Primary Care, PLLC's NPI number?

The NPI number for Texas Physicians Primary Care, PLLC is 1417403957. It was assigned to this organization in the NPPES registry on August 25, 2016.

Where is Texas Physicians Primary Care, PLLC located?

Texas Physicians Primary Care, PLLC is located at 2100 Virginia St Suite G, Grand Prairie, TX 75051. The listed phone number is (972) 264-2331.

What is Texas Physicians Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Texas Physicians Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2130511) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Texas Physicians Primary Care, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Texas Physicians Primary Care, 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 Texas Physicians Primary Care, PLLC was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.