Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Houston Medicine & Pediatrics Clinic PA

Organization Internal Medicine Physician · NPI 1083686091

East Houston Medicine & Pediatrics Clinic PA is an Internal Medicine Physician in Houston, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12739 Woodforest Blvd Ste 2
Houston, TX 77015-2737
Phone: (713) 450-4455
Fax: (713) 450-4737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Internal Medicine Physician Taxonomy 207R00000X
Adolescent Medicine (Internal Medicine) Physician Taxonomy 207RA0000X · Licence J2845 (TX)

Record details

NPI number1083686091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cornelius Wilson — Owner President · (713) 450-4455
NPI enumeratedFebruary 3, 2006
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing addressPo Box 24308, Houston, TX 77229-4308

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