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LEAGUE CITY FAMILY CLINIC, PLLC
NPI 1700247079
Family Medicine in League City, TX

Active since March 15, 2016CLIA 45D2334730 · Waiver
1930 S HIGHWAY 3, LEAGUE CITY, TX 77573(281) 525-6290(832) 905-6173 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2026, Dec 17, 2025, Apr 11, 2017 and 6 more (9 updates tracked since 2016).

About League City Family Clinic, Pllc NPPES

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

LEAGUE CITY FAMILY CLINIC, PLLC (NPI 1700247079) is a healthcare organization registered as a family medicine in League City, Texas and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through November 30, 2027, maintains a secondary practice location in League City, and lists Hanan Hussein, Primary Care Physician, as its authorized official.

NPPES Registry Identity

NPI1700247079
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEAGUE CITY FAMILY CLINIC, PLLC
Location Address1930 S HIGHWAY 3League City, TX 77573-6768
Mailing Address1507 W League City Pkwy Ste 200League City, TX 77573-7340 · (281) 525-6290 · Fax (832) 905-6173
Phone(281) 525-6290
Fax(832) 905-6173
Organization SubpartNo
Authorized OfficialHanan HusseinPrimary Care Physician · (281) 525-6290
Enumeration DateMarch 15, 2016
Last NPPES UpdateJanuary 6, 20269 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1700247079 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 · M9365
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.
1930 S HIGHWAY 3, League City, TX 77573
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Secondary Practice Location 1

Location 11507 W League City Pkwy Ste 200League City, TX 77573-7340 · Phone (281) 525-6290 · Fax (832) 905-6173

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

League City Family Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to League City Family Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Hanan Hussein, MD
Family Practice
NPI 1871786566
1930 S HIGHWAY 3
League City, TX 77573
(281) 525-6290
✔ PECOS✔ Accepts MedicareSame address
Carlie Cooksey, NP
Nurse Practitioner
NPI 1316551823
7301A W PALMETTO PARK RD STE 100B
Boca Raton, FL 33433
(561) 955-5761
✔ PECOS940 mi

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 45D2334730

League City Family Clinic East · League City, TX
Active · expires Nov 30, 2027
CLIA Number45D2334730
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorHanan Hussein
Laboratory Phone(281) 525-6290
Laboratory LocationLeague City Family Clinic East1930 S Highway 3, League City, TX 77573
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 League City Family Clinic, PLLC's NPI number?

The NPI number for League City Family Clinic, PLLC is 1700247079. It was assigned to this organization in the NPPES registry on March 15, 2016.

Where is League City Family Clinic, PLLC located?

League City Family Clinic, PLLC is located at 1930 S Highway 3, League City, TX 77573. The listed phone number is (281) 525-6290.

What is League City Family Clinic, PLLC's specialty?

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

Is League City Family Clinic, PLLC enrolled in Medicare?

Yes. League City Family Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through League City Family Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to League City Family Clinic, PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does League City Family Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2334730) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for League City Family Clinic, PLLC was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.