HYBRID PRIMARY CARE PC – Family Medicine Physician, NPI 1477340065
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HYBRID PRIMARY CARE PC
3414 Milton Ave
DALLAS, TX 753739553
Phone: (832) 446-4412
Fax: (346) 326-1854
Type: Location
3411 Spurlock Rd
Nederland, TX 776276430
Phone: (832) 446-4412
Fax: (346) 326-1854
Type: Location
PO BOX 739553
DALLAS, TX 753739553
Phone: (832) 446-4412
Fax: (346) 326-1854
Type: Mailing
13410 BRIAR FOREST DR STE 190
HOUSTON, TX 770772393
Phone: (281) 771-1144
Fax: (281) 771-1146
Type: Location
7777 Southwest Fwy Ste 934
Houston, TX 770741813
Phone: (346) 556-1185
Type: Location
2219 Texas Ave
Bridge City, TX 776112841
Phone: (832) 445-4412
Fax: (346) 326-1854
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20250826000233 | O | Clinic/Group Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75373)
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Reviews
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