Organization Active NPI

Family Practice Center & Associates

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1942327739
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PRACTICE CENTER & ASSOCIATES
Practice address
6 Medical Center Blvd
Lufkin, TX 75904-3163
Phone
(936) 634-0526
Fax
(936) 634-0529
NPI assigned
Mar 25, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
John Khoa Ha, D.O.NPI 1053438846
Title
President
Phone
93696340526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6 Medical Center Blvd
Lufkin, TX 75904-3163

Mailing address

6 Medical Center Blvd
Lufkin, TX 75904-3163
Phone (936) 634-0526

Other identifiers 2

IdentifierTypeStateIssuer
CE0996OtherMEDICARE RAILROAD
0044BVOtherTXBLUECROSS BLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070914000100 TX Part B Supplier - Clinic/Group Practice 6608960109 Receives reassigned benefits from 2 practitioners
Practice locations: Lufkin, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0922608Family Practice Center & Associates,# 6 Medical Center, Lufkin, TX 75904Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Locations

6 Medical Center Blvd
Lufkin, TX 75904
Phone (409) 634-0526

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1942327739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-634-0526",
            "fax_number": "936-634-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-634-0526",
            "fax_number": "936-634-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CENTER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KHOA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "93696340526",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CE0996",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0044BV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.