Paragon Primary Care Physicians, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K8452 Issued in TX

Legal business name

PARAGON PRIMARY CARE PHYSICIANS, PA

Practice address

20911 Kingsland Blvd
Suite 100
Katy, TX 77450-5548

Phone

(281) 579-3000

Fax

(281) 579-3001

NPI assigned

Feb 22, 2006

Organization subpart

No

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

Authorized official

Name

Pallavolu N Reddy, M.D.

Title

MD

Phone

(281) 579-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1073588059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 KINGSLAND BLVD",
            "address_2": "SUITE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505548",
            "telephone_number": "281-579-3000",
            "fax_number": "281-579-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 KINGSLAND BLVD",
            "address_2": "SUITE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505548",
            "telephone_number": "281-579-3000",
            "fax_number": "281-579-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON PRIMARY CARE PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PALLAVOLU",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "281-579-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10031462",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096659002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Steven Pangan
• Brenda Paniagua
• Michelle Lynn Paniagua, RN
• Stephanie L Pappas, MA, CCC-SLP
• Paradigm RX LLC
• Paragon Primary Physicians
• Meghan Paravi
• Ney Alberto Paredes Sampen, DDS, MSC
• Parene
• Park Row Surgical Services

• Internal Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.