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INNOVATIVE PRIMARY CARE PLLC
NPI 1912610353
Internal Medicine - Adolescent Medicine in Houston, TX

Active since December 30, 2022
17070 RED OAK DR STE 309, HOUSTON, TX 77090(281) 207-0461(888) 273-0398 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2023, Dec 30, 2022 (2 updates tracked since 2022).

About Innovative Primary Care Pllc NPPES

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

INNOVATIVE PRIMARY CARE PLLC (NPI 1912610353) is a healthcare organization registered as an adolescent medicine in Houston, Texas and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Sugar Land and lists Nneka Uzoamaka Edokpayi, Medical Directory, as its authorized official.

NPPES Registry Identity

NPI1912610353
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameINNOVATIVE PRIMARY CARE PLLC
Location Address17070 RED OAK DR STE 309Houston, TX 77090-2616
Mailing Address118 Eldridge Rd Ste ASugar Land, TX 77478-4695 · (832) 564-3526 · Fax (888) 273-0398
Phone(281) 207-0461
Fax(888) 273-0398
Organization SubpartNo
Authorized OfficialNneka Uzoamaka EdokpayiMedical Directory · (202) 492-8519
Enumeration DateDecember 30, 2022
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1912610353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
17070 RED OAK DR STE 309, Houston, TX 77090
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Secondary Practice Location 1

Location 1118 Eldridge Rd Ste ASugar Land, TX 77478-4695 · Phone (832) 564-3526 · Fax (888) 273-0398

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

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 Innovative Primary Care PLLC's NPI number?

The NPI number for Innovative Primary Care PLLC is 1912610353. It was assigned to this organization in the NPPES registry on December 30, 2022.

Where is Innovative Primary Care PLLC located?

Innovative Primary Care PLLC is located at 17070 Red Oak Dr Ste 309, Houston, TX 77090. The listed phone number is (281) 207-0461.

What is Innovative Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

When was this NPI record last updated?

The NPPES record for Innovative Primary Care PLLC was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.