Active NPI
Mylaurel Medical Group TX, PLLC
- General Practice Physician
- Houston, TX
National Provider Identifier
1932728946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MYLAUREL MEDICAL GROUP TX, PLLC
- Practice address
- 2500 West Loop S Ste 230
Houston, TX 77027-4512 - Phone
- (866) 603-7803
- NPI assigned
- Apr 9, 2020
- Last updated
- Nov 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Baldridge
- Title
- Credentialing
- Phone
- (702) 417-6255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2500 West Loop S Ste 230
Houston, TX 77027-4512
Mailing address
885 3Rd Ave FL 29
New York, NY 10022-4834
Phone (347) 497-2452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2331412 | Mylaurel Medical Group TX, PLLC | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
2500 West Loop S
Ste 230
Houston, TX 77027
Phone (702) 417-6255
Practitioners & affiliated clinicians
Practitioners 15
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.
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- Hospitalist Physician
- Temple, TX
- NPI 1487927182
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1518464254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1932728946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 3RD AVE FL 29",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224834",
"telephone_number": "347-497-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 WEST LOOP S STE 230",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770274512",
"telephone_number": "866-603-7803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYLAUREL MEDICAL GROUP TX, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-09",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "BALDRIDGE",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "702-417-6255"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"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 Nov 4, 2025; 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.