EVERSIDE HEALTH LLC, LEXICON TX CLINIC
NPI 1417606740
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Deer Park, TX

Q: What is Everside Health LLC, Lexicon Tx Clinic's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Active since March 23, 2022CLIA 45D2258608 · Waiver

1719 CENTER ST, DEER PARK, TX 77536(704) 936-5546 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Everside Health Llc, Lexicon Tx Clinic NPPES

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

EVERSIDE HEALTH LLC, LEXICON TX CLINIC (NPI 1417606740) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Deer Park, Texas and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1417606740

Entity TypeOrganization

Primary Taxonomy2083P0500X

Legal Business NameEVERSIDE HEALTH LLC, LEXICON TX CLINIC

Location Address1719 CENTER STDeer Park, TX 77536-3509

Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916

Phone(704) 936-5546

Organization SubpartNo

Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1417606740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0500X

Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

1719 CENTER ST, Deer Park, TX 77536

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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

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 45D2258608

Everside Health Lexicon Texas Clinic · Deer Park, TX

Active · expires Apr 24, 2028

CLIA Number45D2258608

Laboratory TypeChronic Disease Managemen

Certificate Effective DateApril 25, 2026

Certificate Expiration DateApril 24, 2028

Laboratory DirectorMonica Williams

Laboratory Phone(704) 529-6161

Laboratory LocationEverside Health Lexicon Texas Clinic1719 Center Street, Deer Park, TX 77536

CLIA data matches this NPI record on: Address

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 Everside Health LLC, Lexicon Tx Clinic's NPI number?

The NPI number for Everside Health LLC, Lexicon Tx Clinic is 1417606740. It was assigned to this organization in the NPPES registry on March 23, 2022.

Where is Everside Health LLC, Lexicon Tx Clinic located?

Everside Health LLC, Lexicon Tx Clinic is located at 1719 Center St, Deer Park, TX 77536. The listed phone number is (704) 936-5546.

What is Everside Health LLC, Lexicon Tx Clinic's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Everside Health LLC, Lexicon Tx Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2258608) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health LLC, Lexicon Tx Clinic was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.