Active NPI
Life Healthcare Medical Services
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1124915954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LIFE HEALTHCARE MEDICAL SERVICES
- Practice address
- 9100 Southwest Fwy Ste 247
Houston, TX 77074-1531 - Phone
- (949) 431-9939
- Fax
- (714) 784-5438
- NPI assigned
- Jun 23, 2025
- Last updated
- Jun 23, 2025
- 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
- Mr. Sam Jeffery
- Title
- Business Head
- Phone
- (716) 301-2036
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Clinic/Center | 261Q00000X | NU |
Addresses
Primary practice location
9100 Southwest Fwy Ste 247
Houston, TX 77074-1531
Mailing address
9100 Southwest Fwy Ste 247
Houston, TX 77074-1531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9100 Southwest Fwy
Ste 247
Houston, TX 77074
Phone (949) 431-9939
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1457799355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1124915954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 SOUTHWEST FWY STE 247",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 SOUTHWEST FWY STE 247",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741531",
"telephone_number": "949-431-9939",
"fax_number": "714-784-5438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE HEALTHCARE MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "JEFFERY",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "BUSINESS HEAD",
"authorized_official_telephone_number": "716-301-2036",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Life Drugs RX LLC (Life Drugs Rx)
- Life Enhancement Services of Texas LLC
- Life Enhancement Services, LLC
- Life Guide Ambulance Services Inc (Life Guide Ambulance Services)
- Life Health Care Services Inc.
- Life Jurnee Home Care LLC
- Life Line Emergency Services LLC (Life Line EMS LLC)
- Life Line Transport LLC
- Life Med Care Inc (life Med Care)
- Life Medical Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.