CENTERWELL SENIOR PRIMARY CARE-LITTLE YORK
NPI 1154903458
Internal Medicine in Houston, TX

Active since April 26, 2021CLIA 45D2230338 · Waiver
388 W LITTLE YORK RD, HOUSTON, TX 77076(346) 207-3170(877) 872-7884 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2022, Jul 19, 2021, Apr 26, 2021 (3 updates tracked since 2021).

About Centerwell Senior Primary Care-little York NPPES

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

CENTERWELL SENIOR PRIMARY CARE-LITTLE YORK (NPI 1154903458) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1154903458
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (TX) PA
Location Address388 W LITTLE YORK RDHouston, TX 77076-1303
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120 · Fax (407) 770-0661
Fax(877) 872-7884
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateApril 26, 2021
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1154903458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
388 W LITTLE YORK RD, Houston, TX 77076

Other Names 1

Doing Business AsCenterwell Senior Primary Care-little York

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

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 45D2230338

Centerwell Senior Primary Care (tx) PA Dba Centerwell Little York · Houston, TX
Active · expires Jul 21, 2027
CLIA Number45D2230338
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorDr. An Thien Tang
Laboratory Phone(346) 207-3170
Laboratory LocationCenterwell Senior Primary Care (tx) PA Dba Centerwell Little York388 W Little York Rd, Houston, TX 77076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
388 W LITTLE YORK RD
HOUSTON, TX 77076
Home Health
388 W LITTLE YORK RD
HOUSTON, TX 77076
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
388 W LITTLE YORK RD
HOUSTON, TX 77076
Pharmacy
388 W LITTLE YORK RD, SUITE:A
HOUSTON, TX 77076
Clinic/Center (Community Health)
388 W LITTLE YORK RD
HOUSTON, TX 77076
Nurse Practitioner (Family)
388 W LITTLE YORK RD
HOUSTON, TX 77076
Nurse Practitioner (Family)
388 W LITTLE YORK RD
HOUSTON, TX 77076
Hospice Care, Community Based
388 W LITTLE YORK RD
HOUSTON, TX 77076

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 Centerwell Senior Primary Care (tx) PA's NPI number?

The NPI number for Centerwell Senior Primary Care (tx) PA is 1154903458. It was assigned to this organization in the NPPES registry on April 26, 2021. The provider is doing business as Centerwell Senior Primary Care-Little York.

Where is Centerwell Senior Primary Care (tx) PA located?

Centerwell Senior Primary Care (tx) PA is located at 388 W Little York Rd, Houston, TX 77076. The listed phone number is (346) 207-3170.

What is Centerwell Senior Primary Care (tx) PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care (tx) PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2230338) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (tx) PA was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.