Organization Active NPI

Affiliates of Family Medicine PA

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1609967678
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2023 Issued in TX
Legal business name
AFFILIATES OF FAMILY MEDICINE PA
Practice address
503 Medical Center Blvd Ste 100
Conroe, TX 77304-2928
Phone
(936) 788-1060
Fax
(936) 788-2844
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Leticia Garcia-Seay M.D., MD
Title
President
Phone
(936) 788-1060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X K2023 TX Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X L1050 TX

Addresses

Primary practice location

503 Medical Center Blvd Ste 100
Conroe, TX 77304-2928

Mailing address

503 Medical Center Blvd
Ste 100
Conroe, TX 77304-2928
Phone (936) 788-1060

Other practice location 1

28517 Spring Trails Rdg Ste 100
Spring, TX 77386-4357
Phone (281) 362-5436

Other identifiers 4

IdentifierTypeStateIssuer
CK5861OtherTXRAILROAD MEDICARE
150961401MedicaidTX
150961402MedicaidTX
00949ROtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627000885 TX Part B Supplier - Clinic/Group Practice 3779528005 Receives reassigned benefits from 9 practitioners
Practice locations: Conroe, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2098094Affiliates of Family Medicine PA28517 Spring Trails Ridge # 100, Spring, TX 77386Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Locations

100 Medical Center Blvd
Ste 206
Conroe, TX 77304
Phone (936) 788-1060

503 Medical Center Blvd
Ste 100
Conroe, TX 77304
Phone (936) 788-1060

28517 Spring Trails Rdg
Ste 100
Spring, TX 77386
Phone (281) 362-5436

Practitioners & affiliated clinicians

Practitioners 10

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1609967678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MEDICAL CENTER BLVD",
            "address_2": "STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042928",
            "telephone_number": "936-788-1060",
            "fax_number": "936-788-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MEDICAL CENTER BLVD STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042928",
            "telephone_number": "936-788-1060",
            "fax_number": "936-788-2844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28517 Spring Trails Rdg Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773864357",
            "country_code": "US",
            "telephone_number": "281-362-5436",
            "fax_number": "281-651-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFILIATES OF FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA-SEAY M.D.",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-788-1060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2023",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5861",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150961401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150961402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00949R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.