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PVC FAMILY PRACTICE
NPI 1720468390
Nurse Practitioner - Family in Garland, TX

Active since June 09, 2015CLIA 45D2125162 · Waiver
3334 BROADWAY BLVD STE 422, GARLAND, TX 75043(972) 979-7408(972) 587-6733 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pvc Family Practice NPPES

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

PVC FAMILY PRACTICE (NPI 1720468390) is a healthcare organization registered as a family in Garland, Texas and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Zainabu Koroma, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720468390
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRIMARY VISITING CLINICIANS PLLC
Location Address3334 BROADWAY BLVD STE 422Garland, TX 75043-1575
Mailing Address3334 Broadway Blvd Ste 422Garland, TX 75043-1575 · (972) 979-7408 · Fax (972) 587-6733
Phone(972) 979-7408
Fax(972) 587-6733
Organization SubpartNo
Authorized OfficialZainabu KoromaAdministrator · (972) 979-7408
Enumeration DateJune 9, 2015
Last NPPES UpdateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1720468390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP120628
Also ListedInternal MedicineTaxonomy 207R00000X · License L5507 (TX)
3334 BROADWAY BLVD STE 422, Garland, TX 75043
Open in Google Maps ↗

Other Names 1

Doing Business AsPvc Family Practice

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 45D2125162

Primary Visiting Clinicians, PLLC Dba Pcv Family Practice · Garland, TX
Active · expires Jan 31, 2027
CLIA Number45D2125162
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorZainabu Koroma
Laboratory Phone(972) 979-7408
Laboratory LocationPrimary Visiting Clinicians, PLLC Dba Pcv Family Practice3334 Broadway Blvd Suite 422, Garland, TX 75043
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 3

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

JANE YATTA MCARTHY APRN
Nurse Practitioner (Primary Care)
3334 BROADWAY BLVD STE 422
GARLAND, TX 75043
Dallas County (972) 979-7408
MRS. DEBORAH DENSUA LARBIE FNP
Nurse Practitioner (Family)
3334 BROADWAY BLVD STE 422
GARLAND, TX 75043
Dallas County (972) 979-7408
LEONE HOMEHEALTH CARE AGENCY INC.
Home Health
3334 BROADWAY BLVD STE 422
GARLAND, TX 75043
Dallas County (214) 227-2510

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 Primary Visiting Clinicians PLLC's NPI number?

The NPI number for Primary Visiting Clinicians PLLC is 1720468390. It was assigned to this organization in the NPPES registry on June 9, 2015. The provider is doing business as Pvc Family Practice.

Where is Primary Visiting Clinicians PLLC located?

Primary Visiting Clinicians PLLC is located at 3334 Broadway Blvd Ste 422, Garland, TX 75043. The listed phone number is (972) 979-7408.

What is Primary Visiting Clinicians PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Primary Visiting Clinicians PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2125162) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Visiting Clinicians PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Primary Visiting Clinicians 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 Primary Visiting Clinicians PLLC was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.