Organization Active NPI

Personal Physicians of Sugar Land

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1467679514
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PERSONAL PHYSICIANS OF SUGAR LAND
Practice address
4660 Sweetwater Blvd Ste 170
Sugar Land, TX 77479-3164
Phone
(281) 242-2221
Fax
(281) 242-2225
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kirk R. Lee, M.D.NPI 1386669836
Title
President
Phone
(281) 242-2221

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 Physician 207Q00000X Primary

Addresses

Primary practice location

4660 Sweetwater Blvd Ste 170
Sugar Land, TX 77479-3164

Mailing address

4660 Sweetwater Blvd Ste 170
Sugar Land, TX 77479-3164
Phone (281) 242-2221

Other identifiers 1

IdentifierTypeStateIssuer
0067NHOtherTXBLUE CROSS BLUE SHIELD ID

National Provider Directory

National Provider Directory

Locations

4660 Sweetwater Blvd
Ste 170
Sugar Land, TX 77479
Phone (281) 242-2221

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467679514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 SWEETWATER BLVD STE 170",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793164",
            "telephone_number": "281-242-2221",
            "fax_number": "281-242-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SWEETWATER BLVD STE 170",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793164",
            "telephone_number": "281-242-2221",
            "fax_number": "281-242-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PHYSICIANS OF SUGAR LAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-242-2221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "0067NH",
            "state": "TX"
        }
    ],
    "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 Aug 22, 2020; 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.