Active NPI
Taylor Family Practice, PA
- Family Medicine Physician
- Kingwood, TX
National Provider Identifier
1659560944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K2296
- Legal business name
- TAYLOR FAMILY PRACTICE, PA
- Practice address
- 2665 Royal Forest Dr.
Suite B-150
Kingwood, TX 77339-5045 - Phone
- (281) 359-4220
- Fax
- (281) 359-4208
- NPI assigned
- Oct 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Ward
- Title
- Billing Manager
- Phone
- (281) 359-4220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K2296 | TX | Primary |
Addresses
Primary practice location
2665 Royal Forest Dr.
Suite B-150
Kingwood, TX 77339-5045
Mailing address
2665 Royal Forest Dr.
Suite B-150
Kingwood, TX 77339-5045
Phone (281) 359-4220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8M1980 | Other | TX | BCBS |
| 0049DF | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040702001110 | TX | Part B Supplier - Clinic/Group Practice | 4789661018 |
Receives reassigned benefits from 1 practitioner Practice locations: Humble, TX |
National Provider Directory
National Provider DirectoryLocations
1806 Humble Place Dr
Humble, TX 77338
Phone (281) 359-4220
22999 Highway 59 N
Ste 150
Kingwood, TX 77339
Phone (281) 358-2426
2665 Royal Frst
Ste B150
Kingwood, TX 77339
Phone (281) 359-4220
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- San Angelo, TX
- NPI 1093655219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349049600000",
"number": "1659560944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2665 ROYAL FOREST DR.",
"address_2": "SUITE B-150",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773395045",
"telephone_number": "281-359-4220",
"fax_number": "281-359-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 ROYAL FOREST DR.",
"address_2": "SUITE B-150",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773395045",
"telephone_number": "281-359-4220",
"fax_number": "281-359-4208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAYLOR FAMILY PRACTICE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-23",
"last_updated": "2012-10-01",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "281-359-4220"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K2296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8M1980",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0049DF",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.