Organization Active NPI

Village Family Practice, L.L.P

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1083619191
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6216 Issued in TX
Legal business name
VILLAGE FAMILY PRACTICE, L.L.P
Practice address
9055 Katy Fwy Ste 200
Houston, TX 77024-1629
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Jun 15, 2005
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Clive K FieldsNPI 1366447583
Title
Owner
Phone
(346) 766-0604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H6216 TX Primary
Internal Medicine Physician 207R00000X H4289 TX

Addresses

Primary practice location

9055 Katy Fwy Ste 200
Houston, TX 77024-1629

Mailing address

PO Box 20771
Belfast, ME 04915-4104
Phone (832) 257-6915

Other identifiers 1

IdentifierTypeStateIssuer
00783NOtherTXMEDICARE ID#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170202000474 TX Part B Supplier - Clinic/Group Practice 4587947346 Receives reassigned benefits from 230 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Humble, TX; Jersey Village, TX; Katy, TX; Kingwood, TX; League City, TX; Pasadena, TX; Pearland, TX…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 32)

1120 N Loop 336 W
Conroe, TX 77301
Phone (346) 646-4220

1832 FM 646 Rd W
Dickinson, TX 77539
Phone (281) 614-5785

10220 Louetta Rd
Unit 100
Houston, TX 77070
Phone (832) 376-3880

12300 Jones Rd
#9473
Houston, TX 77070

12314 Jones Rd
Houston, TX 77070
Phone (346) 646-3529

12704 Bammel North Houston Rd
Ste 400
Houston, TX 77066

12959 Aldine Westfield Rd
#B
Houston, TX 77039

1351 W 43rd St
Houston, TX 77018
Phone (346) 398-7218

16001 Park Ten Pl
Ste 300
Houston, TX 77084
Phone (713) 407-3000

2221 Fulton St
Ste A
Houston, TX 77009

4650 Westway Park Blvd
Ste 210
Houston, TX 77041
Phone (346) 980-2701

500 Maxey Rd
Ste A
Houston, TX 77013

6520 Westheimer Rd
#A
Houston, TX 77057
Phone (346) 226-2028

8951 Ruthby St
Ste 5
Houston, TX 77061
Phone (346) 398-7208

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

9436 N Houston Rosslyn Rd
Ste C
Houston, TX 77088
Phone (281) 445-6960

9450 Hammerly Blvd
Ste A
Houston, TX 77080

18652 McKay Dr
Humble, TX 77338
Phone (281) 446-1014

21820 Katy Fwy
Ste 200
Katy, TX 77449
Phone (346) 396-2451

1801 Texas Ave
#100
La Marque, TX 77568

11006 Spencer Hwy
Ofc
La Porte, TX 77571
Phone (281) 470-2100

1309 FM 1092 Rd
Missouri City, TX 77459

14181 US Highway 190 W
Onalaska, TX 77360
Phone (936) 646-7541

101 W Southmore Ave
#100
Pasadena, TX 77502

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

Practitioners & affiliated clinicians

Practitioners 211

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.

View all 211

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1083619191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20771",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154104",
            "telephone_number": "832-257-6915",
            "fax_number": "346-766-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241629",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY PRACTICE, L.L.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-766-0604"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6216",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H4289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID#",
            "identifier": "00783N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.