CENTERWELL SENIOR PRIMARY CARE (TX) PA
NPI 1508486531
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 April 20, 2020CLIA 45D2183185 · Waiver

4435 W FUQUA ST, HOUSTON, TX 77045(713) 848-1910(833) 749-0327 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, Feb 25, 2021, Jun 26, 2020 and 2 more (5 updates tracked since 2020).

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About Centerwell Senior Primary Care (tx) Pa NPPES

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

CENTERWELL SENIOR PRIMARY CARE (TX) PA (NPI 1508486531), doing business as Partners In Primary Care Ks, Pa, is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1508486531

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE (TX) PA

Location Address4435 W FUQUA STHouston, TX 77045-6205

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

Phone(713) 848-1910

Fax(833) 749-0327

Organization SubpartYes

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

Enumeration DateApril 20, 2020

Last NPPES UpdateOctober 18, 20225 updates tracked since enumeration

NPPES CertifiedOctober 18, 2022

✔ NPI 1508486531 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

4435 W FUQUA ST, Houston, TX 77045

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Other Names 3

Former Legal Business NamePartners In Primary Care Ks, Pa

Doing Business AsCenterwell Senior Primary Care- Hiram Clarke

Former Legal Business NamePartners In Primary Care Tx, Pa

Other Identifiers 1

Medicaid4170599-01TX

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 45D2183185

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

Active · expires Apr 30, 2028

CLIA Number45D2183185

Laboratory TypePhysician Office

Certificate Effective DateMay 1, 2026

Certificate Expiration DateApril 30, 2028

Laboratory DirectorDr. Aymer Al-Mutairi

Laboratory Phone(713) 848-1910

Laboratory LocationCenterwell Senior Primary Care (tx) PA Dba Centerwell Senior Primary Care-Hiram Clarke4435 W Fuqua St, Houston, TX 77045

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.

LEENA SUBHASH PATEL M.D.

Internal Medicine

4435 W FUQUA ST
HOUSTON, TX 77045

Harris County (713) 581-6897

TEHMINA A. KHAN MD

Family Medicine

4435 W FUQUA ST
HOUSTON, TX 77045

Harris County (713) 848-1910

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 1508486531. It was assigned to this organization in the NPPES registry on April 20, 2020. The provider is doing business as CenterWell Senior Primary Care- Hiram Clarke. 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 4435 W Fuqua St, Houston, TX 77045. The listed phone number is (713) 848-1910.

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 45D2183185) is associated with this NPI, valid through April 30, 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.