Organization Active NPI

Liver Associates of Texas, P.a.

  • Specialist
  • Houston, TX
National Provider Identifier
1306880083
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K1344 Issued in TX
Legal business name
LIVER ASSOCIATES OF TEXAS, P.A.
Practice address
6560 Fannin St Ste 1980
Houston, TX 77030-2710
Phone
(713) 799-8300
Fax
(713) 799-8305
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Victor Ankoma-Sey, MDNPI 1144226515
Title
Medical Director
Phone
(713) 799-8300

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K1344 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 1980
Houston, TX 77030-2710

Mailing address

PO Box 300928
Houston, TX 77230-0928
Phone (713) 799-8300

Other identifiers 1

IdentifierTypeStateIssuer
175636301MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050131000578 TX Part B Supplier - Clinic/Group Practice 2860442563 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6833 W Sam Houston Pkwy S
#107
Houston, TX 77072
Phone (713) 799-8300

6565 Fannin St
Fl 7
Houston, TX 77030

6445 Main St
Fl 26
Houston, TX 77030

8633 Broadway St
Pearland, TX 77584

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1306880083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300928",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300928",
            "telephone_number": "713-799-8300",
            "fax_number": "713-799-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1980",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302710",
            "telephone_number": "713-799-8300",
            "fax_number": "713-799-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVER ASSOCIATES OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "ANKOMA-SEY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-799-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K1344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175636301",
            "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 Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.