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CENTRUM MEDICAL GROUP, PLLC
NPI 1477206357
General Practice in Houston, TX

Active since January 31, 2022CLIA 45D2260890 · Waiver
8102 ANTOINE DR, HOUSTON, TX 77088(800) 218-8989(786) 558-0242 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centrum Medical Group, Pllc NPPES

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

CENTRUM MEDICAL GROUP, PLLC (NPI 1477206357) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Vanessa Victorero, Coo, as its authorized official.

NPPES Registry Identity

NPI1477206357
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRUM MEDICAL GROUP, PLLC
Location Address8102 ANTOINE DRHouston, TX 77088-2802
Mailing Address9250 Nw 36th St Ste 402Doral, FL 33178-2775 · (305) 266-2929
Phone(800) 218-8989
Fax(786) 558-0242
Organization SubpartNo
Authorized OfficialVanessa VictoreroCoo · (305) 266-2929
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1477206357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8102 ANTOINE DR, Houston, TX 77088
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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 45D2260890

Centrum Medical Group, PLLC · Houston, TX
Active · expires May 23, 2028
CLIA Number45D2260890
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorAyesha Sultana Khan
Laboratory Phone(484) 640-3643
Laboratory LocationCentrum Medical Group, PLLC8102 Antoine Drive, Houston, TX 77088
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LOISE U EKWEM
Nurse Practitioner (Family)
8102 ANTOINE DR
HOUSTON, TX 77088
Harris County (713) 360-2980
MRS. NKEIRUKA OKAFOR FNP-C
Nurse Practitioner (Family)
8102 ANTOINE DR
HOUSTON, TX 77088
Harris County (713) 360-2980

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 Centrum Medical Group, PLLC's NPI number?

The NPI number for Centrum Medical Group, PLLC is 1477206357. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Centrum Medical Group, PLLC located?

Centrum Medical Group, PLLC is located at 8102 Antoine Dr, Houston, TX 77088. The listed phone number is (800) 218-8989.

What is Centrum Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Centrum Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2260890) is associated with this NPI, valid through May 23, 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 Centrum Medical Group, PLLC was last updated on January 31, 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.