ANGEL'S STAR WELLNESS CENTER, P.A
NPI 1457412710
Family Medicine in Watauga, TX

Q: What is Angel's Star Wellness Center, P.A's NPI number?

The NPI number for Angel's Star Wellness Center, P.A is 1457412710. It was assigned to this organization in the NPPES registry on December 12, 2006.

Q: What is Angel's Star Wellness Center, P.A's specialty?

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

Active since December 12, 2006CLIA 45D1102895 · Waiver

8325 WHITLEY RD, SUITE: 100, WATAUGA, TX 76148(817) 479-1181(817) 918-4432 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2021, Oct 8, 2021, Jun 29, 2017 (3 updates tracked since 2017).

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About Angel's Star Wellness Center, P.a NPPES

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

ANGEL'S STAR WELLNESS CENTER, P.A (NPI 1457412710) is a healthcare organization registered as a family medicine in Watauga, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Frank Nguyen, Management, as its authorized official.

NPPES Registry Identity

NPI1457412710

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameANGEL'S STAR WELLNESS CENTER, P.A

Location Address8325 WHITLEY RD, SUITE: 100Watauga, TX 76148-2487

Mailing Address8325 Whitley Rd, Suite: 100Watauga, TX 76148-2487 · (817) 479-1181 · Fax (817) 750-2789

Phone(817) 479-1181

Fax(817) 918-4432

Organization SubpartNo

Authorized OfficialFrank NguyenManagement · (817) 791-1811

Enumeration DateDecember 12, 2006

Last NPPES UpdateOctober 20, 20213 updates tracked since enumeration

NPPES CertifiedOctober 20, 2021

✔ NPI 1457412710 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 · L0508

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.

8325 WHITLEY RD, Watauga, TX 76148

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Other Identifiers 3

OtherDH2407Medicare Railroad

Medicaid191341001TX

Other0072PDTX · Bcbs

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel's Star Wellness Center, P.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Angel's Star Wellness Center, P.A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chau Pham, DO

Geriatric Medicine

NPI 1881659381

8325 WHITLEY RD SUITE: 100
Watauga, TX 76148

(817) 479-1181

✔ PECOS✔ Accepts MedicareSame address

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 45D1102895

Angel's Star Wellness Center, PA · Watauga, TX

Active · expires Jul 27, 2027

CLIA Number45D1102895

Laboratory TypePhysician Office

Certificate Effective DateJuly 28, 2025

Certificate Expiration DateJuly 27, 2027

Laboratory DirectorChau N. Pham

Laboratory Phone(817) 479-1181

Laboratory LocationAngel's Star Wellness Center, PA8325 Whitley Rd Suite100, Watauga, TX 76148

CLIA data matches this NPI record on: Address Name Phone

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 Angel's Star Wellness Center, P.A's NPI number?

The NPI number for Angel's Star Wellness Center, P.A is 1457412710. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Angel's Star Wellness Center, P.A located?

Angel's Star Wellness Center, P.A is located at 8325 Whitley Rd Suite: 100, Watauga, TX 76148. The listed phone number is (817) 479-1181.

What is Angel's Star Wellness Center, P.A's specialty?

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

Is Angel's Star Wellness Center, P.A enrolled in Medicare?

Yes. Angel's Star Wellness Center, P.A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angel's Star Wellness Center, P.A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Angel's Star Wellness Center, P.A. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Angel's Star Wellness Center, P.A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1102895) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Angel's Star Wellness Center, P.A accept?

Health plans from Molina Healthcare list Angel's Star Wellness Center, P.A 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 Angel's Star Wellness Center, P.A was last updated on October 20, 2021. 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.