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

Medfast Pediatric & Family Clinic

Organization Nurse Practitioner · NPI 1942670401

Medfast Pediatric & Family Clinic is a Nurse Practitioner in Houston, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
Specialties on file
2

Practice location Address checks out

14520 Old Katy Rd St 109
Houston, TX 77079
Phone: (832) 847-1527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP128920 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1942670401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olubunmi Kazzim — Director · (832) 847-1527
NPI enumeratedSeptember 28, 2015
Last updated in NPPESSeptember 29, 2015
Mailing address14520 Old Katy Rd, St 109, Houston, TX 77079

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