Space Center Primary Care, PLLC
NPI 1033661715 · Primary Care Clinic/Center · Houston, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Space Center Primary Care, PLLC is a Primary Care Clinic/Center organization in Houston, TX (NPI 1033661715).
Provider details
- NPI number
- 1033661715
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deran Wong, Physician(281) 286-6000
- License
- Q4875 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-28
- Last updated
- 2016-11-28
Frequently asked questions
- What is Space Center Primary Care, PLLC's NPI number?
- Space Center Primary Care, PLLC's National Provider Identifier (NPI) is 1033661715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Center Primary Care, PLLC?
- Space Center Primary Care, PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Space Center Primary Care, PLLC located?
- Space Center Primary Care, PLLC's practice location on file with NPPES is 907 Bay Area Blvd Ste B, Houston, TX 77058-2665.
- What is Space Center Primary Care, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Space Center Primary Care, PLLC is (281) 286-6000.
- Does Space Center Primary Care, PLLC accept Medicare?
- Space Center Primary Care, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Space Center Primary Care, PLLC?
- The authorized official listed on Space Center Primary Care, PLLC's NPPES record is Deran Wong, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Center Primary Care, PLLC's NPI active?
- Yes — Space Center Primary Care, PLLC's NPI (1033661715) is active in the NPPES registry as of the last update on 2016-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.