Organization Active NPI

Peggy Wongsa, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1912286519
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K0204 Issued in TX
Legal business name
PEGGY WONGSA, MD
Practice address
11302 Fallbrook Dr Ste 305
Houston, TX 77065-4265
Phone
(281) 897-1122
Fax
(281) 897-0777
NPI assigned
Aug 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. Peggy Wongsa, MD
Title
Owner
Phone
(281) 897-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K0204 TX Primary

Addresses

Primary practice location

11302 Fallbrook Dr Ste 305
Houston, TX 77065-4265

Mailing address

11302 Fallbrook Dr Ste 305
Houston, TX 77065-4265
Phone (281) 897-1122

National Provider Directory

National Provider Directory

Locations

11302 Fallbrook Dr
Ste 305
Houston, TX 77065
Phone (281) 897-0333

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1912286519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 FALLBROOK DR STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654265",
            "telephone_number": "281-897-1122",
            "fax_number": "281-897-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 FALLBROOK DR STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654265",
            "telephone_number": "281-897-1122",
            "fax_number": "281-897-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY WONGSA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "WONGSA",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-897-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K0204",
            "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 Aug 12, 2011; 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.