Organization Active NPI

Family Tree Health Clinic P a

  • Family Medicine Physician
  • League City, TX
National Provider Identifier
1205907987
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MDTXJ9936 Issued in TX
Legal business name
FAMILY TREE HEALTH CLINIC P A
Practice address
2911 S Shore Blvd
Suite 190
League City, TX 77573-3922
Phone
(281) 538-8188
Fax
(281) 538-8189
NPI assigned
Nov 13, 2006
Last updated
Feb 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Dr. Alvaro Francisco Zamora, MDNPI 1285736900
Title
Physician
Phone
(281) 538-8188

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 PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X MDTXJ9936 TX Primary

Addresses

Primary practice location

2911 S Shore Blvd
Suite 190
League City, TX 77573-3922

Mailing address

2911 S Shore Blvd
Suite 190
League City, TX 77573-3922
Phone (281) 538-8188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917000766 TX Part B Supplier - Clinic/Group Practice 1658349659 Receives reassigned benefits from 6 practitioners
Practice locations: League City, 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
45D1028947Family Tree Health Clinic, PA2911 South Shore Blvd, Ste 190, League City, TX 77573Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

2911 S Shore Blvd
League City, TX 77573
Phone (281) 538-8188

Practitioners & affiliated clinicians

Practitioners 11

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1205907987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 S SHORE BLVD",
            "address_2": "SUITE 190",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733922",
            "telephone_number": "281-538-8188",
            "fax_number": "281-538-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 S SHORE BLVD",
            "address_2": "SUITE 190",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733922",
            "telephone_number": "281-538-8188",
            "fax_number": "281-538-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE HEALTH CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-538-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "MDTXJ9936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.