OrganizationActive
Primary Care of Van Vleck, PLLC
NPI 1467190421 · Internal Medicine Physician · Van Vleck, TX
Provider details
- NPI number
- 1467190421
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammed Dada, Owner(979) 245-2421
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
170 S 4th St
#2
Van Vleck, TX 77482
Phone: (979) 245-2421
Fax: (979) 245-6263
Street-level locationGet directions
Mailing address
Po Box 2660
Bay City, TX 77404-2660
Registry dates
- Enumerated
- 2022-05-20
- Last updated
- 2022-05-23
- Certified
- 2022-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.