Organization Active NPI

Ark Health

  • Family Medicine Physician
  • Lake Jackson, TX
National Provider Identifier
1346811452
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARK HEALTH
Practice address
201 Oak Dr S Ste 104
Lake Jackson, TX 77566-5626
Phone
(979) 297-1652
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Kin Yu Wong, DONPI 1962743229
Title
Director
Phone
(254) 338-5067

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 SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

201 Oak Dr S Ste 104
Lake Jackson, TX 77566-5626

Mailing address

33203 Amberjack Dr
Richwood, TX 77515-7111

Other practice location 1

4500 E Sam Houston Pkwy S Ste 101
Pasadena, TX 77505-3956
Phone (713) 473-6450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221222001291 TX Part B Supplier - Clinic/Group Practice 4688044274 Receives reassigned benefits from 2 practitioners
Practice locations: Pasadena, TX; Lake Jackson, 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
45D2272537Ark Health201 Oak Drive South Suite 202, Lake Jackson, TX 77566Certificate of waiverNov 21, 2026
45D2311566Ark Health4500 E Sam Houston Parkway S, Suite 101, Pasadena, TX 77505Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Locations

215 Oak Dr S
Ste K
Lake Jackson, TX 77566
Phone (979) 297-1652

4500 E Sam Houston Pkwy S
Ste 101
Pasadena, TX 77505
Phone (713) 473-6450

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": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1346811452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33203 AMBERJACK DR",
            "city": "RICHWOOD",
            "state": "TX",
            "postal_code": "775157111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR S STE 104",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665626",
            "telephone_number": "979-297-1652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 E Sam Houston Pkwy S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775053956",
            "country_code": "US",
            "telephone_number": "713-473-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARK HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KIN",
        "authorized_official_middle_name": "YU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "254-338-5067",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.