Active NPI
Willy Pezzia MD PA
- Internal Medicine Physician
- Katy, TX
National Provider Identifier
1043227697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E3750
- Legal business name
- WILLY PEZZIA MD PA
- Practice address
- 714 S Peek Rd
Katy, TX 77450-3181 - Phone
- (281) 395-3955
- Fax
- (281) 395-3959
- NPI assigned
- Aug 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Willy Pezzia, M.D.
- Title
- Owner
- Phone
- (281) 395-3955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E3750 | TX | Primary |
Addresses
Primary practice location
714 S Peek Rd
Katy, TX 77450-3181
Mailing address
714 S Peek Rd
Katy, TX 77450-3181
Phone (281) 395-3955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092197501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
8945 Long Point Rd
Ste 114
Houston, TX 77055
Phone (713) 465-9899
21830 Kingsland Blvd
Ste 103
Katy, TX 77450
Phone (281) 599-7644
714 S Peek Rd
Katy, TX 77450
Phone (281) 395-3955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259798400000",
"number": "1043227697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 S PEEK RD",
"city": "KATY",
"state": "TX",
"postal_code": "774503181",
"telephone_number": "281-395-3955",
"fax_number": "281-395-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 S PEEK RD",
"city": "KATY",
"state": "TX",
"postal_code": "774503181",
"telephone_number": "281-395-3955",
"fax_number": "281-395-3959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLY PEZZIA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2009-12-03",
"status": "A",
"authorized_official_last_name": "PEZZIA",
"authorized_official_first_name": "WILLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-395-3955",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "E3750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092197501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.