Organization Active NPI

Woodlands Family Practice P.a.

  • Family Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1033230602
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F8218 Issued in TX
Legal business name
WOODLANDS FAMILY PRACTICE P.A.
Practice address
1055 Evergreen Cir
The Woodlands, TX 77380-3602
Phone
(281) 363-3560
NPI assigned
Apr 2, 2007
Last updated
Dec 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Authorized official

Name
Dr. David Mabry, MDNPI 1609831361
Title
Partner
Phone
(281) 363-3560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F8218 TX Primary

Addresses

Primary practice location

1055 Evergreen Cir
The Woodlands, TX 77380-3602

Mailing address

1055 Evergreen Cir
The Woodlands, TX 77380-3602
Phone (281) 363-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050831000662 TX Part B Supplier - Clinic/Group Practice 6002851821 Receives reassigned benefits from 4 practitioners
Practice locations: The Woodlands, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0495281Woodlands Family Practice PA1055 Evergreen Cir, The Woodlands, TX 77380Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1033230602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 EVERGREEN CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803602",
            "telephone_number": "281-363-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 EVERGREEN CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803602",
            "telephone_number": "281-363-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS FAMILY PRACTICE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "281-363-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F8218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.