REALISTIC MEDICAL CLINIC, LLC
NPI 1972911725
Contractor in Houston, TX

Q: What is Realistic Medical Clinic, LLC's NPI number?

The NPI number for Realistic Medical Clinic, LLC is 1972911725. It was assigned to this organization in the NPPES registry on July 24, 2014.

Q: What is Realistic Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

Active since July 24, 2014CLIA 45D2107374 · Waiver

2646 S LOOP W, SUITE 520, HOUSTON, TX 77054(713) 434-5877(832) 834-7539 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Realistic Medical Clinic, Llc NPPES

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

REALISTIC MEDICAL CLINIC, LLC (NPI 1972911725) is a healthcare organization registered as a contractor in Houston, Texas and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Lloyd David Randall, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972911725

Entity TypeOrganization

Primary Taxonomy171W00000X

Legal Business NameREALISTIC MEDICAL CLINIC, LLC

Location Address2646 S LOOP W, SUITE 520Houston, TX 77054-2665

Mailing Address2646 South Loop West, Suite 520Houston, TX 77054 · (713) 434-5877 · Fax (832) 834-7539

Phone(713) 434-5877

Fax(832) 834-7539

Organization SubpartNo

Authorized OfficialLloyd David RandallAdministrator · (713) 434-5877

Enumeration DateJuly 24, 2014

Last NPPES UpdateApril 20, 2015

✔ NPI 1972911725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers

Taxonomy Code171W00000X

Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

2646 S LOOP W, Houston, TX 77054

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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

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 45D2107374

Realistic Medical Clinic · Houston, TX

Active · expires Jan 11, 2028

CLIA Number45D2107374

Laboratory TypePhysician Office

Certificate Effective DateJanuary 12, 2026

Certificate Expiration DateJanuary 11, 2028

Laboratory DirectorThaddeus W. Hume MD

Laboratory Phone(713) 434-5877

Laboratory LocationRealistic Medical Clinic2636 South Loop West Suite 580, Houston, TX 77054

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 20

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

EXECUTIVE THERAPY & EDUCATIONAL SERVICES

Home Health

2646 S LOOP W, SUITE 400
HOUSTON, TX 77054

Harris County (713) 432-7900

TMC PAIN SURGICAL CENTER

Clinic/Center (Pain)

2646 S LOOP W, SUITE 140
HOUSTON, TX 77054

Harris County (713) 661-0300

MS. TAMARA MONEA WELSH FNP

Nurse Practitioner (Family)

2646 S LOOP W, SUITE 220
HOUSTON, TX 77054

Harris County (225) 266-8931

KEN PRATT

Pediatrics

2646 S LOOP W, SUITE 400
HOUSTON, TX 77054

Harris County (713) 432-7900

INFINITY MEDICAL GROUP, PLLC

Clinic/Center (Primary Care)

2646 S LOOP W
HOUSTON, TX 77054

Harris County (832) 297-9279

SIBLINGS HEALTHCARE SOLUTIONS LLC

Home Health

2646 S LOOP W, SUITE 355
HOUSTON, TX 77054

Harris County (713) 218-7099

CHAMPION OF TEXAS EMS, INC.

Ambulance

2646 S LOOP W, 250
HOUSTON, TX 77054

Harris County (713) 294-3243

AJAY K AGGARWAL MDPA

Anesthesiology (Pain Medicine)

2646 S LOOP W, #300
HOUSTON, TX 77054

Harris County (877) 433-4352

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 Realistic Medical Clinic, LLC's NPI number?

The NPI number for Realistic Medical Clinic, LLC is 1972911725. It was assigned to this organization in the NPPES registry on July 24, 2014.

Where is Realistic Medical Clinic, LLC located?

Realistic Medical Clinic, LLC is located at 2646 S Loop W Suite 520, Houston, TX 77054. The listed phone number is (713) 434-5877.

What is Realistic Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

Does Realistic Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2107374) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Realistic Medical Clinic, LLC was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.