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

Homegrown Healthcare PLLC

Organization Medical Physician Assistant · NPI 1225815343

Homegrown Healthcare PLLC is a Medical Physician Assistant in Lake Jackson, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

207 That Way St Ste C
Lake Jackson, TX 77566-5211
Phone: (979) 614-0115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1225815343
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casey Atkins — Office Manager · (979) 239-8772
NPI enumeratedSeptember 12, 2023
Last updated in NPPESNovember 6, 2023
Certification dateSeptember 13, 2023
Mailing address207 That Way St Ste C, Lake Jackson, TX 77566-5211

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