PROVIDER HEALTH SERVICES LLC
NPI 1831967561
Family Medicine in Humble, TX

Q: What is Provider Health Services LLC's NPI number?

The NPI number for Provider Health Services LLC is 1831967561. It was assigned to this organization in the NPPES registry on December 12, 2023.

Q: What is Provider Health Services LLC's specialty?

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

Active since December 12, 2023CLIA 45D2313262 · Waiver

1906 TREBLE DR STE 18, HUMBLE, TX 77338(281) 305-8633(281) 305-8633 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2024, Dec 12, 2023 (2 updates tracked since 2023).

On this page

About Provider Health Services Llc NPPES

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

PROVIDER HEALTH SERVICES LLC (NPI 1831967561) is a healthcare organization registered as a family medicine in Humble, Texas and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Victor Mzyece, President, as its authorized official.

NPPES Registry Identity

NPI1831967561

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDER HEALTH SERVICES LLC

Location Address1906 TREBLE DR STE 18Humble, TX 77338-5284

Mailing Address14511 Emma Springs CtHumble, TX 77396-4893 · (281) 305-8633 · Fax (281) 305-8633

Phone(281) 305-8633

Fax(281) 305-8633

Organization SubpartNo

Authorized OfficialVictor MzyecePresident · (281) 305-8633

Enumeration DateDecember 12, 2023

Last NPPES UpdateApril 2, 20242 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1831967561 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.

1906 TREBLE DR STE 18, Humble, TX 77338

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D2313262

Provider Health Services LLC · Humble, TX

Active · expires Oct 27, 2026

CLIA Number45D2313262

Laboratory TypePhysician Office

Certificate Effective DateOctober 28, 2024

Certificate Expiration DateOctober 27, 2026

Laboratory DirectorVictor Mzyece

Laboratory Phone(281) 305-8633

Laboratory LocationProvider Health Services LLC242 1st St W, Humble, TX 77338

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CHISOM OGBONNAYA

Emergency Medical Technician, Basic

1906 TREBLE DR STE 18
HUMBLE, TX 77338

Harris County (832) 425-5668

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 Provider Health Services LLC's NPI number?

The NPI number for Provider Health Services LLC is 1831967561. It was assigned to this organization in the NPPES registry on December 12, 2023.

Where is Provider Health Services LLC located?

Provider Health Services LLC is located at 1906 Treble Dr Ste 18, Humble, TX 77338. The listed phone number is (281) 305-8633.

What is Provider Health Services LLC's specialty?

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

Does Provider Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2313262) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Provider Health Services LLC 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 2 other insurers list Provider Health Services LLC 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 Provider Health Services LLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.