Individual provider · Type 1 NPI

Janel Larie Primus, PA-C

Surgical Physician Assistant · Plano, TX

NPI number 1265747430 Active

Practice location

6160 Windhaven Pkwy, Suite 200
Plano, TX 75093-8099

Fax (972) 378-6586

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1265747430

Janel Larie Primus, PA-C's National Provider Identifier is 1265747430, issued on Aug 12, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Plano, TX. The record was last updated on Aug 12, 2010.