LOW T MENS CLINIC LP
NPI 1053670257
Family Medicine in Colleyville, TX

Active since May 08, 2012
5604 COLLEYVILLE BLVD STE H, COLLEYVILLE, TX 76034(817) 416-5698(817) 416-5699 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2025, Jun 16, 2020, Jun 12, 2020 (3 updates tracked since 2020).

About Low T Mens Clinic Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOW T MENS CLINIC LP (NPI 1053670257) is a healthcare organization registered as a family medicine in Colleyville, Texas and active in the NPI registry since May 2012. The organization maintains 2 additional practice locations and lists Ivonne Braxton, President, as its authorized official.

NPPES Registry Identity

NPI1053670257
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLOW T MENS CLINIC LP
Location Address5604 COLLEYVILLE BLVD STE HColleyville, TX 76034-6036
Mailing Address5604 Colleyville Blvd Ste HColleyville, TX 76034-6036 · (817) 416-5698 · Fax (817) 416-5699
Fax(817) 416-5699
Organization SubpartNo
Authorized OfficialIvonne BraxtonPresident · (956) 650-0186
Enumeration DateMay 8, 2012
Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1053670257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
5604 COLLEYVILLE BLVD STE H, Colleyville, TX 76034

Secondary Practice Locations 2

Location 16213 Colleyville Blvd Ste 100Colleyville, TX 76034-6441 · Phone (817) 416-4698 · Fax (817) 416-5699
Location 21540 Lost TrlKeller, TX 76248-8421 · Phone (956) 650-0186 · Fax (817) 581-3887

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Low T Mens Clinic Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Low T Mens Clinic LP, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1821740796
1170 N CARROLL AVE
Southlake, TX 76092
(817) 329-6263
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1720374515
6115 CAMP BOWIE BLVD STE 140
Fort Worth, TX 76116
(817) 416-5698
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1053118562
5117 BREEZEWIND LN
Fort Worth, TX 76123
(817) 219-8571
✔ PECOS24 mi
Nurse Practitioner
NPI 1295867034
1122 E AUSTIN ST
Paris, TX 75460
(903) 783-1999
✔ PECOS✔ Accepts Medicare107 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Low T Mens Clinic LP's NPI number?

The NPI number for Low T Mens Clinic LP is 1053670257. It was assigned to this organization in the NPPES registry on May 8, 2012.

Where is Low T Mens Clinic LP located?

Low T Mens Clinic LP is located at 5604 Colleyville Blvd Ste H, Colleyville, TX 76034. The listed phone number is (817) 416-5698.

What is Low T Mens Clinic LP's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Low T Mens Clinic LP enrolled in Medicare?

Yes. Low T Mens Clinic LP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Low T Mens Clinic LP?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Low T Mens Clinic LP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Low T Mens Clinic LP was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.