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NPI · 1205830668 · NPPES-sourced

Lake Jackson Clinic, P.A.

ActiveFamily Medicine
NPI Number
1205830668
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(979) 297-2441
License TX · E6263
Last Updated
About 5 years ago (Aug 2020)
Enumerated 2005-06-13
Primary practice addressTX · 77566-5228
101a Parking Way StLake Jackson, TX 77566-5228
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About this NPIWhat this record shows.

NPI 1205830668 is registered to Lake Jackson Clinic, P.A., a healthcare organisation classified as "Family Medicine" and located at 101a Parking Way St in Lake Jackson, Texas. The organisation's authorised official is Liem Bui. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2005-06-13
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lake Jackson Clinic, P.A. accepts. To confirm in-network status with your specific health plan, contact Lake Jackson Clinic, P.A. directly at (979) 297-2441.

Frequently asked

Yes. NPI 1205830668 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (979) 297-2441.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lake Jackson Clinic, P.A. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated2020-08
Enumerated2005-06-13
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Texas.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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