Individual provider Active NPI

Jamie Tran, P.A.C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1265740401
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03566 Issued in TX
Practice address
10919 Louetta Rd Ste E500
Houston, TX 77070-1710
Phone
(855) 803-9355
Fax
(888) 498-3652
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03566 TX Primary

Addresses

Primary practice location

10919 Louetta Rd Ste E500
Houston, TX 77070-1710

Mailing address

10919 Louetta Rd # E500
Houston, TX 77070-1710
Phone (855) 803-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000507 TX Practitioner - Physician Assistant 7416196803 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03566TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Family Medicine CurrentSince Jan 10, 2020 Accepting new patients
H-E-B Wellness Services Inc PastSince Apr 6, 2025 Accepting new patients
H-E-B, LP PastSince Apr 6, 2025 Accepting new patients

Locations

8810 Antoine Dr
Houston, TX 77088
Phone (346) 398-7181

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30127/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1265740401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10919 LOUETTA RD # E500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701710",
            "telephone_number": "855-803-9355",
            "fax_number": "888-498-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10919 LOUETTA RD STE E500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701710",
            "telephone_number": "855-803-9355",
            "fax_number": "888-498-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "P.A.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.