Organization Active NPI

Sim Family Clinic, P.a.

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1215938014
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SIM FAMILY CLINIC, P.A.
Practice address
8411 Louetta Rd
Spring, TX 77379
Phone
(281) 893-5870
Fax
(281) 893-5895
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
William Chen, M.D.NPI 1003855800
Title
President
Phone
(281) 893-5870

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 Primary

Addresses

Primary practice location

8411 Louetta Rd
Spring, TX 77379

Mailing address

8411 Louetta Rd
Spring, TX 77379
Phone (281) 893-5870

Other identifiers 2

IdentifierTypeStateIssuer
181002002MedicaidTX
0073HGOtherTXGROUP# FOR BCBS OF TX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000792 TX Part B Supplier - Clinic/Group Practice 5890716914 Receives reassigned benefits from 2 practitioners
Practice locations: Spring, 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
45D0493871Sim Family Clinic PA8411 Louetta Rd, Spring, TX 77379Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

4331 Brightwood Dr
Ste 100
Houston, TX 77068
Phone (281) 893-5870

4331 Brightwood Dr
Houston, TX 77068
Phone (281) 444-1204

14405 Walters Rd
Ste 120
Houston, TX 77014
Phone (281) 893-5870

8411 Louetta Rd
Spring, TX 77379
Phone (281) 893-5870

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1215938014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "281-893-5870",
            "fax_number": "281-893-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "281-893-5870",
            "fax_number": "281-893-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIM FAMILY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-893-5870",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181002002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP# FOR BCBS OF TX",
            "identifier": "0073HG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.