DEER PARK FAMILY CLINIC, P.A. - NPI 1710066519 - Family Medicine in Deer Park, TX

Q: What is Deer Park Family Clinic, P.A.'s NPI number?

The NPI number for Deer Park Family Clinic, P.A. is 1710066519. It was assigned to this organization in the NPPES registry on November 3, 2006.

Q: What is Deer Park Family Clinic, P.A.'s specialty?

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

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About Deer Park Family Clinic, P.a. NPPES

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

DEER PARK FAMILY CLINIC, P.A. (NPI 1710066519) is a healthcare organization registered as a family medicine in Deer Park, Texas and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Amy L Strahan, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710066519

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDEER PARK FAMILY CLINIC, P.A.

Location Address2910 CENTER STDeer Park, TX 77536

Mailing Address2910 Center StDeer Park, TX 77536-4943 · (281) 479-5941 · Fax (281) 542-1861

Phone(281) 479-5941

Fax(281) 542-1861

Organization SubpartNo

Authorized OfficialAmy L StrahanBusiness Office Manager · (281) 479-5941

Enumeration DateNovember 3, 2006

Last NPPES UpdateNovember 9, 2010

✔ NPI 1710066519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

2910 CENTER ST, Deer Park, TX 77536

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Other Identifiers 2

Medicare ID-Type Unspecified00020HTX · Medicare Group Number

Medicaid079578301TX

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 Accreditation 45D0496686

Deer Park Family Clinic PA · Deer Park, TX

Active · expires Dec 22, 2027

CLIA Number45D0496686

Laboratory TypePractitioner Other

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorDonald R. Metz

Laboratory Phone(281) 479-5941

Laboratory LocationDeer Park Family Clinic PA2910 Center, Deer Park, TX 77536

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

SHAVONNE SWEATT AGNP-C, AGNP-BC

Nurse Practitioner (Adult Health)