Active NPI
Luminance Health and Beauty PLLC
- Family Medicine Physician
- Missouri City, TX
National Provider Identifier
1750917209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LUMINANCE HEALTH AND BEAUTY PLLC
- Practice address
- 4502 Riverstone Blvd Ste 605
Missouri City, TX 77459-5205 - Phone
- (281) 942-6226
- NPI assigned
- Mar 17, 2020
- 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
- Chinh Quoc Pham, MD
- Title
- Owner
- Phone
- (281) 942-6226
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4502 Riverstone Blvd Ste 605
Missouri City, TX 77459-5205
Mailing address
7715 Tiburon TRL
Sugar Land, TX 77479-6157
Phone (281) 942-6226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4502 Riverstone Blvd
Ste 605
Missouri City, TX 77459
Phone (281) 942-6226
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1619148715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584403200000",
"number": "1750917209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7715 TIBURON TRL",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774796157",
"telephone_number": "281-942-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 RIVERSTONE BLVD STE 605",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595205",
"telephone_number": "281-942-6226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMINANCE HEALTH AND BEAUTY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "CHINH",
"authorized_official_middle_name": "QUOC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-942-6226",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.