St. Giles - Baytown, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

001014227 Issued in TX

Legal business name

ST. GILES - BAYTOWN, INC.

Practice address

3010 S 1St St
Lufkin, TX 75901-7110

Phone

(936) 639-1600

Fax

(936) 639-1632

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Kathryn Penkala

Title

Director of Credentialing

Phone

(817) 289-8450

Specialties & licenses 1

Addresses

Other identifiers 11

Locations

Practitioners 3

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

• Muhammad T Aziz, M.D.

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1437152873
  NPD (past)
• Aman Ali Jafar, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1912999426
  NPD (past)
• Mariette Pierre, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1972542124
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1508933987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094836",
            "telephone_number": "817-289-8450",
            "fax_number": "817-447-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 S 1ST ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017110",
            "telephone_number": "936-639-1600",
            "fax_number": "936-639-1632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3618 Beasley Ave",
            "address_purpose": "LOCATION",
            "city": "Needville",
            "state": "TX",
            "postal_code": "774618208",
            "country_code": "US",
            "telephone_number": "817-289-8450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 Karen Ln",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777062744",
            "country_code": "US",
            "telephone_number": "817-389-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. GILES - BAYTOWN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "PENKALA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "817-289-8450"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "001014227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014230",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012309",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013797",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012307",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012310",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014227",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013809",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012806",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014229",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Thomas Spore, DO
• Virginia B Spore
• Jonathan Ray Squyres, PHD
• SSK Physician Associates
• St Giles Living Centers Texas LLC
• Barbara Lee Stafford, PHARMACIST
• James Edward Staggs II, DDS PA
• Robert M Standerford, P.A.-C
• Morgan Stanley
• Velma Jean Stanley, PSYCHOLOGIST

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.