TEXAS CITY CLINIC PLLC
NPI 1639507064
Clinic/Center - Primary Care in Texas City, TX

Active since October 22, 2013CLIA 45D2068279 · Waiver
8030 FM 1765 STE C102, TEXAS CITY, TX 77591(832) 660-7280 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Texas City Clinic Pllc NPPES

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

TEXAS CITY CLINIC PLLC (NPI 1639507064) is a healthcare organization registered as a primary care in Texas City, Texas and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Catharine Nformangum, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1639507064
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTEXAS CITY CLINIC PLLC
Location Address8030 FM 1765 STE C102Texas City, TX 77591-3689
Mailing Address8030 Fm 1765 Ste C102Texas City, TX 77591-3689 · (832) 660-7280
Organization SubpartNo
Authorized OfficialCatharine NformangumNurse Practitioner · (832) 660-7280
Enumeration DateOctober 22, 2013
Last NPPES UpdateJune 20, 2018
NPI 1639507064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TX · 747302
8030 FM 1765 STE C102, Texas City, TX 77591

Accepted Insurance

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 45D2068279

Texas City Clinic · Texas City, TX
Active · expires Oct 30, 2027
CLIA Number45D2068279
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorCatharine Nformangum
Laboratory Phone(832) 660-7280
Laboratory LocationTexas City Clinic8030 Fm 1765 Ste C 102, Texas City, TX 77591
CLIA data matches this NPI record on: 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 Texas City Clinic PLLC's NPI number?

The NPI number for Texas City Clinic PLLC is 1639507064. It was assigned to this organization in the NPPES registry on October 22, 2013.

Where is Texas City Clinic PLLC located?

Texas City Clinic PLLC is located at 8030 Fm 1765 Ste C102, Texas City, TX 77591. The listed phone number is (832) 660-7280.

What is Texas City Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Texas City Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2068279) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Texas City Clinic PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Texas City Clinic PLLC 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 Texas City Clinic PLLC was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.