Provider Demographics
NPI:1033115498
Name:KEY PRIMARY CARE, PLLC
Entity type:Organization
Organization Name:KEY PRIMARY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:MEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-242-6889
Mailing Address - Street 1:4645 HIGHWAY 6
Mailing Address - Street 2:SUITE H
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5514
Mailing Address - Country:US
Mailing Address - Phone:281-242-6889
Mailing Address - Fax:281-884-6071
Practice Address - Street 1:4645 HIGHWAY 6
Practice Address - Street 2:SUITE H
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5514
Practice Address - Country:US
Practice Address - Phone:281-242-6889
Practice Address - Fax:281-884-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9574207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173103601Medicaid
TX00546YMedicare ID - Type UnspecifiedKEY PRIMARY CARE, PLLC