Agp Family Health Clinic Corp
Organization Active NPI Family Medicine Physician · Tomball, TX
NPI 1760140313 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1760140313
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AGP FAMILY HEALTH CLINIC CORP
- Practice address
- 888 Graham Dr
Tomball, TX 77375-3322 - Phone
- (832) 684-3909
- Fax
- (877) 409-4140
- NPI assigned
- Dec 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Richard Andres Pedroza
- Title
- Owner, Provider
- Phone
- (832) 684-3909
Practitioners 2
-
Richard Andres Pedroza, M.D.
-
Carlos Pirela, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2261971 | Agp Family Health Clinic Corp | Certificate of waiver | Jun 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220827000260 | TX | Part B Supplier - Clinic/Group Practice | 8426432204 |
Receives reassigned benefits from 1 practitioner Practice locations: Tomball, TX |
National Provider Directory
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIDHCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
888 Graham Dr
Tomball, TX 77375-3322
Mailing address
888 Graham Dr
Tomball, TX 77375-3322
Phone (832) 684-3909
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All providers in Tomball, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.