Westlake Medical Services LLLP

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WESTLAKE MEDICAL SERVICES LLLP

Practice address

2430 Fry Rd Ste 100
Houston, TX 77084-5831

Phone

(281) 829-3999

Fax

(281) 829-5146

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Phong Nguyen, M.D.NPI 1952345506

Title

President

Phone

(281) 829-3999

Specialties & licenses 1

Addresses

Other names 1

• Westlake Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phong Hoai Nguyen, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1952345506
  Medicare reassignment Care Compare group NPD Authorized official
• Vu To, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1346622230
  Medicare reassignment Care Compare group NPD
• Valerie Michelle Martin, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1336722925
  Medicare reassignment NPD

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1447591029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 FRY RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845831",
            "telephone_number": "281-829-3999",
            "fax_number": "281-829-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 FRY RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845831",
            "telephone_number": "281-829-3999",
            "fax_number": "281-829-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE MEDICAL SERVICES LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-829-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Westin, M.D.
• Shannon Neville Westin, MD
• Westlake Dermatology of Houston PLLC
• Westlake Dermatology, PA
• Westlake Internal Medicine Associates PA
• Westlake Volunteer Fire Department, Inc
• Richard Meredith Westmark, M.D.
• Westmont Childrens Ambulatory Surgery Center Corporation
• Westmont Pharmacy Inc
• Ashley Westmoreland

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.