East Houston Medicine & Pediatrics Clinic PA
NPI 1083686091 · Pediatrics Physician · Houston, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Houston Medicine & Pediatrics Clinic PA is a Pediatrics Physician organization in Houston, TX (NPI 1083686091).
Provider details
- NPI number
- 1083686091
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cornelius Wilson, Owner President(713) 450-4455
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-02-03
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Frequently asked questions
- What is East Houston Medicine & Pediatrics Clinic PA's NPI number?
- East Houston Medicine & Pediatrics Clinic PA's National Provider Identifier (NPI) is 1083686091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Houston Medicine & Pediatrics Clinic PA?
- East Houston Medicine & Pediatrics Clinic PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is East Houston Medicine & Pediatrics Clinic PA located?
- East Houston Medicine & Pediatrics Clinic PA's practice location on file with NPPES is 12739 Woodforest Blvd Ste 2, Houston, TX 77015-2737.
- What is East Houston Medicine & Pediatrics Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for East Houston Medicine & Pediatrics Clinic PA is (713) 450-4455.
- Does East Houston Medicine & Pediatrics Clinic PA accept Medicare?
- East Houston Medicine & Pediatrics Clinic PA 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 East Houston Medicine & Pediatrics Clinic PA?
- The authorized official listed on East Houston Medicine & Pediatrics Clinic PA's NPPES record is Cornelius Wilson, Owner President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Houston Medicine & Pediatrics Clinic PA's NPI active?
- Yes — East Houston Medicine & Pediatrics Clinic PA's NPI (1083686091) is active in the NPPES registry as of the last update on 2026-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.