| Organization Name: | PCA- PRIMARY CARE ASSOCIATES PA |
| NPI Number: | 1174747950 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENNIE EMBRY (MEDICAL DIRECTOR) |
| Mailing Address: | 801 W Main St Gun Barrel City |
| State: | TX US |
| Postal Code: | 751565312 |
| Phone Number: | 9038876252 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |