Active NPI
John Carlo Sy Pang, FNP-C
- Family Nurse Practitioner
- Port Arthur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1094441
- Practice address
- 8333 9TH Ave Ste a
Port Arthur, TX 77642-8151 - Phone
- (409) 727-2808
- NPI assigned
- Mar 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1094441 | TX | Primary |
Addresses
Primary practice location
8333 9TH Ave Ste a
Port Arthur, TX 77642-8151
Mailing address
8333 9TH Ave Ste a
Port Arthur, TX 77642-8151
Phone (409) 727-2808
Other practice location 1
3712 Gulfway Dr
Port Arthur, TX 77642-2828
Phone (409) 332-4300
Other practice location 2
190 Strickland Dr
Orange, TX 77630-4748
Phone (409) 920-4037
Other practice location 3
810 Hospital Dr Ste 320
Beaumont, TX 77701-4655
Phone (409) 833-2266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8333 9TH Ave
Suite a
Port Arthur, TX 77642-8151
Phone (409) 272-2808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1094441 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KR Wellness Solutions PA | Family | Current | Accepting new patients |
| Standard Medical Clinic, PA | Family | Current | Accepting new patients |
Locations
810 Hospital Dr
Ste 320
Beaumont, TX 77701
Phone (409) 833-2266
2400 Highway 365
Ste 108
Nederland, TX 77627
Phone (409) 724-3053
190 Strickland Dr
Orange, TX 77630
Phone (409) 920-4037
3712 Gulfway Dr
Port Arthur, TX 77642
Phone (409) 332-4300
8333 9th Ave
Ste A
Port Arthur, TX 77642
Phone (409) 272-2808
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1851049902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 9TH AVE STE A",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428151",
"telephone_number": "409-727-2808",
"fax_number": "409-727-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 9TH AVE STE A",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428151",
"telephone_number": "409-727-2808"
}
],
"practiceLocations": [
{
"address_1": "3712 Gulfway Dr",
"address_purpose": "LOCATION",
"city": "Port Arthur",
"state": "TX",
"postal_code": "776422828",
"country_code": "US",
"telephone_number": "409-332-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Strickland Dr",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "TX",
"postal_code": "776304748",
"country_code": "US",
"telephone_number": "409-920-4037",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 Hospital Dr Ste 320",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "TX",
"postal_code": "777014655",
"country_code": "US",
"telephone_number": "409-833-2266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANG",
"first_name": "JOHN CARLO",
"middle_name": "SY",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-16",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1094441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.