Active NPI
Mont Belvieu Providers, PLLC
- Family Medicine Physician
- Mont Belvieu, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MONT BELVIEU PROVIDERS, PLLC
- Practice address
- 11303 Eagle Dr
Mont Belvieu, TX 77523-7623 - Phone
- (281) 385-8111
- NPI assigned
- Jun 2, 2023
- Last updated
- Jun 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
- Douglas Chung
- Title
- Chief Executive Officer
- Phone
- (281) 385-8111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
11303 Eagle Dr
Mont Belvieu, TX 77523-7623
Mailing address
11303 Eagle Dr
Mont Belvieu, TX 77523-7623
Phone (281) 385-8111
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 |
|---|---|---|---|
| 45D2111379 | Mont Belvieu Providers, PLLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
1947 Highway 146
Dayton, TX 77535
Phone (303) 919-9126
9235 N Highway 146
Ste 2
Mont Belvieu, TX 77523
Phone (281) 385-8111
Practitioners & affiliated clinicians
Practitioners 14
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.
-
- Family Nurse Practitioner
- Pasadena, TX
- NPI 1205535960
Single Specialty
-
- Family Nurse Practitioner
- Baytown, TX
- NPI 1639878853
-
- Family Nurse Practitioner
- Baytown, TX
- NPI 1558970962
-
- Nurse Practitioner
- Mont Belvieu, TX
- NPI 1508429044
-
- Family Nurse Practitioner
- Baytown, TX
- NPI 1902656713
-
- Internal Medicine Physician
- Houston, TX
- NPI 1265508246
-
- Physician Assistant
- Baytown, TX
- NPI 1225267214
-
- Family Nurse Practitioner
- Kingwood, TX
- NPI 1598239980
-
- Family Nurse Practitioner
- Fresno, TX
- NPI 1669973038
-
- Family Nurse Practitioner
- Pasadena, TX
- NPI 1437925591
-
- Family Nurse Practitioner
- Sugar Land, TX
- NPI 1124651286
-
- Family Nurse Practitioner
- Pasadena, TX
- NPI 1679908511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748995200000",
"number": "1972296077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11303 EAGLE DR",
"city": "MONT BELVIEU",
"state": "TX",
"postal_code": "775237623",
"telephone_number": "281-385-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11303 EAGLE DR",
"city": "MONT BELVIEU",
"state": "TX",
"postal_code": "775237623",
"telephone_number": "281-385-8111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONT BELVIEU PROVIDERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-02",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "281-385-8111"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mont Belvieu, TX
- Monarch Wound Care LLC
- Mont Belvieu Dental Care PLLC (Shine Dental)
- Mont Belvieu Family Dentistry PLLC (Mont Belvieu Dental and Orthodontics)
- Mont Belvieu Integrative Healthcare
- Mont Belvieu Pediatrics, PLLC
- Mont Belvieu Urgent and Family Care LLC
- Mont Belvieu Urgent Care and More PA
- Mont Belvieu Urgent Care LLC
- Kody Mouillesseaux
- Ayme Yohani Napoles
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.