Fry Family Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRY FAMILY CLINIC LLC

Practice address

8200 Wilcrest Dr Ste 20
Houston, TX 77072-4338

Phone

(346) 570-2594

NPI assigned

Jun 20, 2025

Last updated

Jun 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Maiquel Rubio Pavon, FNPNPI 1568130490

Title

President

Phone

(346) 570-2594

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maiquel Rubio Rubio Pavon

  • Family Nurse Practitioner
  • Katy, TX
  • NPI 1568130490
  NPD Authorized official

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1790672889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WILCREST DR STE 20",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770724338",
            "telephone_number": "346-570-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WILCREST DR STE 20",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770724338",
            "telephone_number": "346-570-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRY FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "RUBIO PAVON",
        "authorized_official_first_name": "MAIQUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "346-570-2594",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Fruge
• Ernest Fruge, PHD
• Leah Fruge, PHARM.D.
• Fruitfulvine Midwifery Care,LP
• Carolyn Sue Fruthaler, M.D.
• Cody C Fry
• Julie Michelle Fry, LVN
• Sharon S Fry, OT
• Jill Brown Fryar, LCSW
• Thomas Fryar, M.ED

• Family Medicine Physician in Houston, TX
• Providers in Houston, 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 Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.