LAKE JACKSON CLINIC, P.A.
NPI 1205830668
Family Medicine in Lake Jackson, TX

Active since June 13, 2005
101A PARKING WAY ST, LAKE JACKSON, TX 77566(979) 297-2441 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Jackson Clinic, P.a. NPPES

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

LAKE JACKSON CLINIC, P.A. (NPI 1205830668) is a healthcare organization registered as a family medicine in Lake Jackson, Texas and active in the NPI registry since June 2005. The organization lists Liem P Bui, President, as its authorized official.

NPPES Registry Identity

NPI1205830668
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE JACKSON CLINIC, P.A.
Location Address101A PARKING WAY STLake Jackson, TX 77566-5228
Mailing Address101a Parking Way StLake Jackson, TX 77566-5228
Organization SubpartNo
Authorized OfficialLiem P BuiPresident · (979) 297-2441
Enumeration DateJune 13, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1205830668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · E6263
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.
101A PARKING WAY ST, Lake Jackson, TX 77566

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Family Medicine
101A PARKING WAY ST
LAKE JACKSON, TX 77566
Family Medicine
101A PARKING WAY ST
LAKE JACKSON, TX 77566
Family Medicine
101A PARKING WAY ST
LAKE JACKSON, TX 77566

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 Lake Jackson Clinic, P.A.'s NPI number?

The NPI number for Lake Jackson Clinic, P.A. is 1205830668. It was assigned to this organization in the NPPES registry on June 13, 2005.

Where is Lake Jackson Clinic, P.A. located?

Lake Jackson Clinic, P.A. is located at 101A Parking Way St, Lake Jackson, TX 77566. The listed phone number is (979) 297-2441.

What is Lake Jackson Clinic, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Jackson Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.