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MEDFAST PEDIATRIC & FAMILY CLINIC
NPI 1942670401
Nurse Practitioner in Houston, TX

Active since September 28, 2015
14520 OLD KATY RD, ST 109, HOUSTON, TX 77079(832) 847-1527 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medfast Pediatric & Family Clinic NPPES

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

MEDFAST PEDIATRIC & FAMILY CLINIC (NPI 1942670401) is a healthcare organization registered as a nurse practitioner in Houston, Texas and active in the NPI registry since September 2015. The organization lists Olubunmi Olufunke Kazzim, Director, as its authorized official.

NPPES Registry Identity

NPI1942670401
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMEDFAST PEDIATRIC & FAMILY CLINIC
Location Address14520 OLD KATY RD, ST 109Houston, TX 77079
Mailing Address14520 Old Katy Rd, St 109Houston, TX 77079 · (832) 847-1527
Phone(832) 847-1527
Organization SubpartNo
Authorized OfficialOlubunmi Olufunke KazzimDirector · (832) 847-1527
Enumeration DateSeptember 28, 2015
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1942670401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP128920
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
14520 OLD KATY RD, ST 109, Houston, TX 77079
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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 MULTIPLE SINGLE 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 Medfast Pediatric & Family Clinic's NPI number?

The NPI number for Medfast Pediatric & Family Clinic is 1942670401. It was assigned to this organization in the NPPES registry on September 28, 2015.

Where is Medfast Pediatric & Family Clinic located?

Medfast Pediatric & Family Clinic is located at 14520 Old Katy Rd, St 109, Houston, TX 77079. The listed phone number is (832) 847-1527.

What is Medfast Pediatric & Family Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Medfast Pediatric & Family Clinic was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.