FULL LIFE PRIMARY CARE – NPI #1427775451
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

FULL LIFE PRIMARY CARE is a provider located in SHERMAN, TX. NPPES has assigned the NPI number 1427775451 to FULL LIFE PRIMARY CARE on October 20, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FULL LIFE PRIMARY CARE” is a dba name, the actual legal business name for this organization is FULL LIFE PRIMARY CARE PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 3 years ago on Dec 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FULL LIFE PRIMARY CARE below.

NPI Profile for
FULL LIFE PRIMARY CARE PLLC

NPI Number
1427775451
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FULL LIFE PRIMARY CARE PLLC
Doing Business As (dba): FULL LIFE PRIMARY CARE
Primary location
600 E TAYLOR ST STE 201
SHERMAN, TX 75090-2832
Phone: (903) 257-3929 Fax: (903) 827-4015
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHEELU MATHEWS
MANAGER
Phone: (973) 207-4589
Updated
Certification Date
Dec 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.