Ideal Care Family Doctor PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IDEAL CARE FAMILY DOCTOR PLLC

Practice address

1315 W Grand Pkwy S Ste 104
Katy, TX 77494-8290

Phone

(713) 287-0924

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Liset Avalos Enriquez, M.DNPI 1356648588

Title

Medical Doctor

Phone

(281) 752-6437

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• Liset Avalos Enriquez, M.D

  • Family Medicine Physician
  • Katy, TX
  • NPI 1356648588
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1720784135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 W GRAND PKWY S STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W GRAND PKWY S STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948290",
            "telephone_number": "713-287-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CARE FAMILY DOCTOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "AVALOS ENRIQUEZ",
        "authorized_official_first_name": "LISET",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "281-752-6437",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayan Dhamer Ibraheem, MD
• Kashifa Ibrahim
• Icare Boutique PC
• Icon Pharmacy
• Iconic Chiropractic
• Ideal Care Health Management LLC
• Ideal Dental of Katy PLLC
• Ideal Physical Therapy of Texas LLC
• Ideal Physical Therapy of Texas LLC
• Ideal Sleep & Diagnostics LLC

• Family Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.