TEJAS HEALTH CARE
NPI 1073779500
Clinic/Center - Federally Qualified Health Center (FQHC) in La Grange, TX

Active since August 04, 2008CLIA 45D2001397 · Waiver
890 E TRAVIS ST, LA GRANGE, TX 78945(979) 968-2000(979) 968-2001 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tejas Health Care NPPES

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

TEJAS HEALTH CARE (NPI 1073779500) is a healthcare organization registered as a federally qualified health center (fqhc) in La Grange, Texas and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Pamela Wyant, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1073779500
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTEJAS HEALTH CARE
Location Address890 E TRAVIS STLa Grange, TX 78945-2364
Mailing Address753 E Travis StLa Grange, TX 78945-2353 · (979) 968-2000 · Fax (979) 968-2001
Fax(979) 968-2001
Organization SubpartNo
Authorized OfficialPamela WyantBilling Supervisor · (979) 968-2000
Enumeration DateAugust 4, 2008
Last NPPES UpdateMay 7, 2019
✔ NPI 1073779500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
890 E TRAVIS ST, La Grange, TX 78945

Other Identifiers 3

Medicaid202580107TX
Medicaid202580110TX
Medicaid202580104TX

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tejas Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20090526000409Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Tejas Health Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 10

Family Practice6
Nurse Practitioner4
Pediatric Medicine2
Clinical Psychologist1
Clinical Social Worker1
Emergency Medicine1
Gynecological Oncology1
Internal Medicine1
2 other specialties2

Clinicians, nearest first (19)

Pediatric Medicine
NPI 1811458797
890 E TRAVIS ST
La Grange, TX 78945
(844) 835-2748
✔ PECOSSame address
Nurse Practitioner
NPI 1447709779
890 E TRAVIS ST
La Grange, TX 78945
(979) 968-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033675038
753 E TRAVIS ST
La Grange, TX 78945
(979) 968-2000
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1821014630
750 W TRAVIS ST
La Grange, TX 78945
(979) 968-3711
✔ PECOS✔ Accepts Medicare1.0 mi
Emergency Medicine
NPI 1265546808
890 E TRAVIS ST
La Grange, TX 78945
(979) 968-2000
✔ PECOS✔ Accepts Medicare1.5 mi
Clinical Social Worker
NPI 1881433993
PO BOX 75
Schulenburg, TX 78956
(254) 396-6070
✔ PECOS✔ Accepts Medicare14 mi
Obstetrics/Gynecology
NPI 1336269174
2122 HIGHWAY 71 S
Columbus, TX 78934
(979) 733-0095
✔ PECOS✔ Accepts Medicare18 mi
Gynecological Oncology
NPI 1184802613
2122 HIGHWAY 71 S
Columbus, TX 78934
(979) 733-0095
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1225068752
305 SANDY CORNER RD
El Campo, TX 77437
(979) 543-5510
✔ PECOS✔ Accepts Medicare59 mi
Pediatric Medicine
NPI 1720434459
418 PARK GROVE DR
Katy, TX 77450
(281) 492-0774
✔ PECOS68 mi
Nurse Practitioner
NPI 1598172702
6769 LAKE WOODLANDS DR STE E
The Woodlands, TX 77382
(281) 210-1200
✔ PECOS✔ Accepts Medicare82 mi
Clinical Psychologist
NPI 1275859464
7272 WURZBACH RD STE 601
San Antonio, TX 78240
(210) 615-3483
✔ PECOS✔ Accepts Medicare107 mi
Internal Medicine
NPI 1215947213
1706 TREASURE HILLS BLVD
Harlingen, TX 78550
(956) 365-6750
✔ PECOS✔ Accepts Medicare262 mi
Family Practice
NPI 1780035956
4327 BARNETT RD
Wichita Falls, TX 76310
(940) 764-5200
✔ PECOS291 mi
Family Practice
NPI 1821443581
1000 OCHSNER BLVD
Covington, LA 70433
(985) 898-7150
✔ PECOS✔ Accepts Medicare404 mi
Family Practice
NPI 1134282999
2700 W KINGSHIGHWAY STE 4
Paragould, AR 72450
(870) 239-3600
✔ PECOS✔ Accepts Medicare561 mi
Family Practice
NPI 1437115862
1580 W COLUMBIA ST
Farmington, MO 63640
(573) 760-1365
✔ PECOS655 mi
Family Practice
NPI 1871588236
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-2965
✔ PECOS✔ Accepts Medicare1,136 mi
Psychiatry
NPI 1447480173
2495 W MARCH LN
Stockton, CA 95207
(209) 465-1080
✔ PECOS✔ Accepts Medicare1,506 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2001397

Tejas Health Care · La Grange, TX
Active · expires May 31, 2027
CLIA Number45D2001397
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorKyle B. Hudson
Laboratory Phone(979) 968-6596
Laboratory LocationTejas Health Care890 E Travis St, La Grange, TX 78945
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Tejas Health Care's NPI number?

The NPI number for Tejas Health Care is 1073779500. It was assigned to this organization in the NPPES registry on August 4, 2008.

Where is Tejas Health Care located?

Tejas Health Care is located at 890 E Travis St, La Grange, TX 78945. The listed phone number is (979) 968-2000.

What is Tejas Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Tejas Health Care enrolled in Medicare?

Yes. Tejas Health Care is registered in the Medicare PECOS enrollment system.

When is Tejas Health Care's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tejas Health Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 10 Medicare specialties reassign their Medicare billing to Tejas Health Care. 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. The largest specialties are Family Practice (6), Nurse Practitioner (4) and Pediatric Medicine (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tejas Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2001397) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tejas Health Care accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Tejas Health Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tejas Health Care was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.