MYLAUREL MEDICAL GROUP TX, PLLC
NPI 1932728946
General Practice in Houston, TX

Active since April 09, 2020CLIA Certified · 3 labs
2500 WEST LOOP S STE 230, HOUSTON, TX 77027(866) 603-7803 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2025, Sep 10, 2025, Jan 5, 2024 and 4 more (7 updates tracked since 2020).

About Mylaurel Medical Group Tx, Pllc NPPES

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

MYLAUREL MEDICAL GROUP TX, PLLC (NPI 1932728946) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since April 2020. The organization holds 3 active CLIA laboratory certificates and lists Leslie Baldridge, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1932728946
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMYLAUREL MEDICAL GROUP TX, PLLC
Location Address2500 WEST LOOP S STE 230Houston, TX 77027-4512
Mailing Address885 3rd Ave Fl 29New York, NY 10022-4834 · (347) 497-2452
Organization SubpartNo
Authorized OfficialLeslie BaldridgeCredentialing · (702) 417-6255
Enumeration DateApril 9, 2020
Last NPPES UpdateNovember 4, 20257 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
NPI 1932728946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2500 WEST LOOP S STE 230, Houston, TX 77027

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

CLIA Laboratory Certificates CMS CLIA 3

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 45D2331412

Mylaurel Medical Group Tx, PLLC · Houston, TX
Active · expires Sep 30, 2027
CLIA Number45D2331412
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorClay Watson MD
Laboratory Phone(866) 603-7803
Laboratory LocationMylaurel Medical Group Tx, PLLC2500 West Loop South, Suite 230, Houston, TX 77027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2334127

Mylaurel Medical Group PA · Lansdale, PA
Active · expires Nov 16, 2027
CLIA Number39D2334127
Laboratory TypeIn Home Tests By Phys Grp
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorDr. Clay C. Watson
Laboratory Phone(866) 603-7803
Laboratory LocationMylaurel Medical Group PA1816 West Point Pike, Lansdale, PA 19446
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2345017

Mylaurel Medical Group Wa, PLLC · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2345017
Laboratory TypeIn-Home
Certificate Effective DateJune 3, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorClay Watson
Laboratory Phone(866) 603-7803
Laboratory LocationMylaurel Medical Group Wa, PLLC9505 19th Ave SE #116, Everett, WA 98208
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932728946, enumerated as an "organization" on April 09, 2020.

The provider is located at 2500 WEST LOOP S STE 230 HOUSTON, TX 77027 and the phone number is (866) 603-7803.

General Practice with taxonomy code 208D00000X.