HERITAGE FAMILY CLINIC
NPI 1619421310
Nurse Practitioner - Family in Houston, TX

Active since August 10, 2016
11850 FM 1960 RD W, HOUSTON, TX 77065(832) 515-9903 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heritage Family Clinic NPPES

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

HERITAGE FAMILY CLINIC (NPI 1619421310) is a healthcare organization registered as a family in Houston, Texas and active in the NPI registry since August 2016. The organization lists Ann Ajoyat Bakama, President/owner, as its authorized official.

NPPES Registry Identity

NPI1619421310
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHERITAGE FAMILY CLINIC
Location Address11850 FM 1960 RD WHouston, TX 77065-3840
Mailing Address20923 Kingsland BlvdKaty, TX 77450-5548 · (832) 515-9903
Organization SubpartYes
Authorized OfficialAnn Ajoyat BakamaPresident/owner · (832) 515-9903
Enumeration DateAugust 10, 2016
NPI 1619421310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP123192
11850 FM 1960 RD W, Houston, TX 77065

Other Identifiers 1

Medicare PIN502338TX

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 2

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

Surgery
11850 FM 1960 RD W
HOUSTON, TX 77065
Pharmacy (Community/Retail Pharmacy)
11850 FM 1960 RD W
HOUSTON, TX 77065

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 Heritage Family Clinic's NPI number?

The NPI number for Heritage Family Clinic is 1619421310. It was assigned to this organization in the NPPES registry on August 10, 2016.

Where is Heritage Family Clinic located?

Heritage Family Clinic is located at 11850 Fm 1960 Rd W, Houston, TX 77065. The listed phone number is (832) 515-9903.

What is Heritage Family Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Heritage Family Clinic was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.