Kids Clinic at Cy-Fair Professional Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K0204 Issued in TX

Legal business name

KIDS CLINIC AT CY-FAIR PROFESSIONAL CORPORATION

Doing business as

Peggy Wongsa MD

Practice address

21212 Northwest Fwy Ste 215
Cypress, TX 77429-5885

Phone

(281) 897-1122

Fax

(281) 897-0777

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Serene Wongsa

Title

Officer

Phone

(281) 897-1122

Specialties & licenses 1

Addresses

Other names 1

• Peggy Wongsa MD Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1912385881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY STE 215",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295885",
            "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": "21212 NORTHWEST FWY STE 215",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295885",
            "telephone_number": "281-897-1122",
            "fax_number": "281-897-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CLINIC AT CY-FAIR PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "WONGSA",
        "authorized_official_first_name": "SERENE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-897-1122"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K0204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peggy Wongsa MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohamed Wael J Khirfan, MD
• Khloe'S Kove LLC
• Kristina Khorrami, RN
• Kiddercare Home Health LLC
• Kids and Elders Care Connections LLC
• Kids Gi Kare PLLC
• Kim H Nguyen, P.a.
• Daniel Jin-Young Kim, MD
• Hyejin Kim, M.ED., BCBA
• Steve Kim

• Pediatrics Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.