Organization Active NPI

Avc Health Ipa, LLC

  • Health Maintenance Organization
  • Sugar Land, TX
National Provider Identifier
1306568407
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
AVC HEALTH IPA, LLC
Practice address
4419 Dusty Meadow LN
Sugar Land, TX 77479-3409
Phone
(832) 797-0883
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Dr. Bao Thang Ngoc Pham, MD
Title
Ceo
Phone
(281) 989-7232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

4419 Dusty Meadow LN
Sugar Land, TX 77479-3409

Mailing address

14090 Southwest Fwy Ste 300
Sugar Land, TX 77478-3679
Phone (713) 281-3839

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1306568407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 SOUTHWEST FWY STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783679",
            "telephone_number": "713-281-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 DUSTY MEADOW LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793409",
            "telephone_number": "832-797-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVC HEALTH IPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "BAO THANG",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-989-7232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.