Organization Active NPI

Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1861675506
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TEXAS CHILDREN'S PHYSICIAN GROUP
Practice address
6621 Fannin St
Houston, TX 77030
Phone
(832) 824-1000
NPI assigned
Dec 17, 2007
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Weldon Gage
Title
Executive Vice President/Cfo
Phone
(832) 828-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

6621 Fannin St
Houston, TX 77030

Mailing address

2450 Holcombe Blvd
Suite NB-34L
Houston, TX 77021-2039
Phone (832) 828-3660

Other practice location 1

6701 Fannin St
Houston, TX 77030-2316
Phone (832) 824-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000209 TX Part B Supplier - Clinic/Group Practice 4385722081 Receives reassigned benefits from 2,700 practitioners

National Provider Directory

National Provider Directory

Locations (25 of 502)

1600 SW Archer Rd
#D1121
Gainesville, FL 32610
Phone (352) 265-8989

19831 Governors Hwy
Flossmoor, IL 60422
Phone (312) 592-6799

3995 Hagers Grove Rd SE
Salem, OR 97317
Phone (503) 881-9269

1103 W 1st North St
Morristown, TN 37814

6500 N Mopac Expy
Bldg 1
Austin, TX 78731
Phone (512) 206-0101

6500 N Mopac Expy
Ste 1205
Austin, TX 78731

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

8611 N Mopac Expy
#300
Austin, TX 78759
Phone (737) 220-8200

8611 N Mopac Expy
Fl 3
Austin, TX 78759

8611 N Mopac Expy
Ste 200
Austin, TX 78759
Phone (737) 220-8200

9817 N Lake Creek Pkwy
Austin, TX 78717
Phone (737) 229-4500

7599 Garth Rd
Ste 600
Baytown, TX 77521
Phone (281) 422-6678

6330 West Loop S
Ste 300
Bellaire, TX 77401
Phone (713) 839-0164

6750 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 295-4200

159 Joe H Reynolds
Rm 407
College Station, TX 77843

159 Reynolds Med Bldg
Rm 407
College Station, TX 77843

17200 St Lukes Way
Ste 300
Conroe, TX 77384

17350 St Lukes Way
#1
Conroe, TX 77384

17580 Interstate 45 S
#1
Conroe, TX 77384

17580 Interstate 45 S
#360
Conroe, TX 77384

17580 Interstate 45 S
#44002
Conroe, TX 77384

17580 Interstate 45 S
#5
Conroe, TX 77384

17580 Interstate 45 S
Fl 1
Conroe, TX 77384

17580 Interstate 45 S
Fl 4
Conroe, TX 77384

17580 Interstate 45 S
Fl 8
Conroe, TX 77384

Practitioners & affiliated clinicians

Practitioners 3,660

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.

View all 3,660

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1861675506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 HOLCOMBE BLVD",
            "address_2": "SUITE NB-34L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212039",
            "telephone_number": "832-828-3660",
            "fax_number": "832-828-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "832-824-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302316",
            "country_code": "US",
            "telephone_number": "832-824-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS CHILDREN'S PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "WELDON",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "832-828-3660"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.