Organization Active NPI

Universal Physicians PA

  • Contractor
  • Houston, TX
National Provider Identifier
1548477805
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
UNIVERSAL PHYSICIANS PA
Practice address
3711 Briarpark Dr Ste 202
Houston, TX 77042-5246
Phone
(713) 893-3792
Fax
(713) 391-8374
NPI assigned
May 17, 2007
Last updated
Nov 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Lily Lam
Title
Administrator
Phone
(713) 893-3792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

3711 Briarpark Dr Ste 202
Houston, TX 77042-5246

Mailing address

3711 Briarpark Dr Ste 202
Houston, TX 77042-5246
Phone (713) 893-3792

Other identifiers 1

IdentifierTypeStateIssuer
195781301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070928000365 TX Part B Supplier - Clinic/Group Practice 5496840928 Receives reassigned benefits from 21 practitioners
Practice locations: Houston, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

3711 Briarpark Dr
Ste 202
Houston, TX 77042
Phone (713) 589-9159

5858 Westheimer Rd
Ste 306
Houston, TX 77057
Phone (713) 584-9159

5858 Westheimer Rd
Ste 400
Houston, TX 77057
Phone (713) 584-9159

17724 Corporate Woods Dr
San Antonio, TX 78259

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1548477805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 BRIARPARK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770425246",
            "telephone_number": "713-893-3792",
            "fax_number": "713-391-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 BRIARPARK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770425246",
            "telephone_number": "713-893-3792",
            "fax_number": "713-391-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-893-3792"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195781301",
            "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 Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.