| Organization Name: | HIGHLAND VILLAGE PRIMARY CARE, P.A. |
| NPI Number: | 1730292830 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROMINDER KAUR (OWNER) |
| Mailing Address: | 2016 Justin Rd Suite 370 Highland Village |
| State: | TX US |
| Postal Code: | 750777161 |
| Phone Number: | 9729662525 |
| Fax Number: | 9729661359 |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 12/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | K0859 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |