Organization Active NPI

Hillcroft Family Medical Clinic PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1487726774
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HILLCROFT FAMILY MEDICAL CLINIC PA
Practice address
11861 S Sam Houston Pkwy W Ste a
Houston, TX 77031-2362
Phone
(281) 564-3535
Fax
(281) 564-3545
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Mr. Huan Doan Ngo, DO
Title
Owner Physician
Phone
(281) 564-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11861 S Sam Houston Pkwy W Ste a
Houston, TX 77031-2362

Mailing address

11861 S Sam Houston Pkwy W Ste a
Houston, TX 77031-2362
Phone (281) 564-3535

Other practice location 1

5901 Hillcroft St
Suite D4
Houston, TX 77036-3329
Phone (832) 242-3232

Other identifiers 1

IdentifierTypeStateIssuer
159637101MedicaidTX

National Provider Directory

National Provider Directory

Locations

5901 Hillcroft Ave
Ste D4
Houston, TX 77036
Phone (832) 242-3232

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1487726774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11861 S SAM HOUSTON PKWY W STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312362",
            "telephone_number": "281-564-3535",
            "fax_number": "281-564-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11861 S SAM HOUSTON PKWY W STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312362",
            "telephone_number": "281-564-3535",
            "fax_number": "281-564-3545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Hillcroft St",
            "address_2": "Suite D4",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770363329",
            "country_code": "US",
            "telephone_number": "832-242-3232",
            "fax_number": "832-242-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILLCROFT FAMILY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "HUAN",
        "authorized_official_middle_name": "DOAN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "281-564-3535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159637101",
            "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 Dec 10, 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.