Organization Active NPI

Texas Pediatric Clinic

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1295041820
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L6682 Issued in TX
Legal business name
TEXAS PEDIATRIC CLINIC
Practice address
800 Peakwood Dr Ste 6F
Houston, TX 77090-2903
Phone
(281) 444-1600
Fax
(713) 518-1108
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Robbie Porras
Title
Billing Supervisor
Phone
(281) 444-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X L6682 TX Primary

Addresses

Primary practice location

800 Peakwood Dr Ste 6F
Houston, TX 77090-2903

Mailing address

800 Peakwood Dr Ste 6F
Houston, TX 77090-2903
Phone (281) 444-1600

Other identifiers 1

IdentifierTypeStateIssuer
174243901MedicaidTX

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
45D2022359Texas Pediatric Clinic, PA800 Peakwood Dr Ste 6F, Houston, TX 77090Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

4560 FM 1960 Rd W
Ste 102
Houston, TX 77069

800 Peakwood Dr
Ste 6F
Houston, TX 77090
Phone (281) 298-2847

Practitioners & affiliated clinicians

Practitioners 3

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": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1295041820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR STE 6F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902903",
            "telephone_number": "281-444-1600",
            "fax_number": "713-518-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR STE 6F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902903",
            "telephone_number": "281-444-1600",
            "fax_number": "713-518-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "281-444-1600"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L6682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174243901",
            "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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.