NPIMap

Organization Active NPI

Southeast Arkansas Five Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1952069759
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SOUTHEAST ARKANSAS FIVE MEDICAL GROUP, PLLC
Practice address
11445 Compaq Center West Dr Ste 800
Houston, TX 77070-1433
Phone
(281) 429-8625
Fax
(281) 429-8526
NPI assigned
Nov 30, 2021
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Felisha Walker
Title
Billing Manager
Phone
(281) 429-8625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

11445 Compaq Center West Dr Ste 800
Houston, TX 77070-1433

Mailing address

11445 Compaq Center West Dr Ste 800
Houston, TX 77070-1433
Phone (281) 429-8625

National Provider Directory

National Provider Directory

Locations

147 Section Line Rd
Ste G
Hot Springs National Park, AR 71913
Phone (281) 429-8522

2320 Knob Creek Rd
Ste 404
Johnson City, TN 37604
Phone (423) 661-7445

11039 Parkside Dr
Knoxville, TN 37934
Phone (865) 392-1388

6886 Woodlands Pkwy
Ste D
Spring, TX 77382
Phone (281) 419-5698

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1952069759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 COMPAQ CENTER WEST DR STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701433",
            "telephone_number": "281-429-8625",
            "fax_number": "281-429-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11445 COMPAQ CENTER WEST DR STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701433",
            "telephone_number": "281-429-8625",
            "fax_number": "281-429-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ARKANSAS FIVE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "281-429-8625"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 22, 2025; 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.