Active NPI
Gastro Kids
- Pediatric Gastroenterology Physician
- Katy, TX
National Provider Identifier
1700502242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- Legal business name
- GASTRO KIDS
- Practice address
- 1259 FM 1463 Rd Ste 300
Katy, TX 77494-5474 - Phone
- (832) 387-5317
- NPI assigned
- Oct 17, 2022
- Organization subpart
- Yes
- Parent organization
- GASTRO KIDS, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yen Hoang Pham, MD
- Title
- Owner
- Phone
- (832) 387-5317
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | Primary |
Addresses
Primary practice location
1259 FM 1463 Rd Ste 300
Katy, TX 77494-5474
Mailing address
1259 FM 1463 Rd Ste 300
Katy, TX 77494-5474
Other names 1
- Gastro Kids
National Provider Directory
National Provider Directory- Part of
- Gastro Kids
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Gastroenterology Physician
- Houston, TX
- NPI 1093070310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1700502242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 FM 1463 RD STE 300",
"city": "KATY",
"state": "TX",
"postal_code": "774945474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 FM 1463 RD STE 300",
"city": "KATY",
"state": "TX",
"postal_code": "774945474",
"telephone_number": "832-387-5317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTRO KIDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GASTRO KIDS, PLLC",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "YEN",
"authorized_official_middle_name": "HOANG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-387-5317",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gastro Kids",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.