Individual provider Active NPI

Thalia Clarencia Lake, DO

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1487395406
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V8311 Issued in TX
Practice address
1677 W Baker Rd Ste 2701
Baytown, TX 77521-2422
Phone
(832) 556-6670
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X V8311 TX Primary

Addresses

Primary practice location

1677 W Baker Rd Ste 2701
Baytown, TX 77521-2422

Mailing address

1677 W Baker Rd Ste 2701
Baytown, TX 77521-2422
Phone (832) 556-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822002795 TX Practitioner - Family Practice 3779083845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

1677 W Baker Rd
Baytown, TX 77521-2422
Phone (281) 427-7400

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

7550 Greenbriar Dr
Houston, TX 77030-4508

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Family Medicine CurrentSince Sep 2, 2025 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

1677 W Baker Rd
Ste 2701
Baytown, TX 77521
Phone (832) 556-6670

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

424 Hahlo St
Houston, TX 77020
Phone (713) 343-5511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1487395406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 W BAKER RD STE 2701",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212422",
            "telephone_number": "832-556-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 W BAKER RD STE 2701",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212422",
            "telephone_number": "832-556-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "THALIA",
        "middle_name": "CLARENCIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V8311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.