Individual provider Active NPI

Katie Tso

  • Physician Assistant
  • Conroe, TX
National Provider Identifier
1023898020
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
508 Medical Center Blvd Ste 360
Conroe, TX 77304-2952
Phone
(281) 836-9020
NPI assigned
Oct 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X LA Primary

Addresses

Primary practice location

508 Medical Center Blvd Ste 360
Conroe, TX 77304-2952

Mailing address

172 Palladium LN
Shreveport, LA 71115-3256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240423003469 LA Practitioner - Physician Assistant 9335588375 Reassigns benefits to 1 organization
I20241127003069 TX Practitioner - Physician Assistant 9335588375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

15200 Southwest Fwy
Suite 290
Sugar Land, TX 77478-3866
Phone (281) 980-2010

22999 Hwy 59 N
Humble, TX 77339-4412
Phone (281) 348-8000

22999 Hwy 59 N BLDG B
Suite 220
Kingwood, TX 77339-4412
Phone (281) 312-6457

508 Medical Ctr Blvd
Conroe, TX 77304-2952

Hospital & facility affiliations

  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: katie.tso@hca9.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1023898020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PALLADIUM LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD STE 360",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042952",
            "telephone_number": "281-836-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSO",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.