Organization Active NPI

Family Physician,P.a.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1447435284
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0297 Issued in TX
Legal business name
FAMILY PHYSICIAN,P.A.
Practice address
9119 S Gessner Dr
Suite 305
Houston, TX 77074-2874
Phone
(713) 772-5669
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. Kenneth Okefie Uzoaga
Title
Office Manager
Phone
(713) 772-5669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M0297 TX Primary

Addresses

Primary practice location

9119 S Gessner Dr
Suite 305
Houston, TX 77074-2874

Mailing address

9119 S Gessner Dr
Suite 305
Houston, TX 77074-2874
Phone (713) 772-5669

Other identifiers 1

IdentifierTypeStateIssuer
172746301MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1447435284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 S GESSNER DR",
            "address_2": "SUITE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742874",
            "telephone_number": "713-772-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 S GESSNER DR",
            "address_2": "SUITE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742874",
            "telephone_number": "713-772-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIAN,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "UZOAGA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "OKEFIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-772-5669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172746301",
            "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 Aug 20, 2013; 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.