Organization · Type 2 NPI

Innovista Provider Group Texas PA

Family Medicine Physician · Katy, TX

NPI number 1265087472 Active

Practice location

2610 North Mason Road
Katy, TX 77449

Call (305) 470-2929 Map

Mailing address

PO Box 8150
Westchester, IL 60154-8150

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other family medicine physician providers in Katy

See all in Katy →

NPI record

NPI: 1265087472
Entity type: Organization (Type 2)
Issued: Aug 5, 2019
Last updated: Jun 2, 2025
Status: Active
Subpart: Yes of Innovista Provider Group Texas PA

Other names

<unavail>
Innovista Katy · doing business as
Innovista Medical Center of Texas PA · former legal business name

Authorized official

Mia Willhite
Owner
(269) 720-7042

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1265087472

Innovista Provider Group Texas PA's National Provider Identifier is 1265087472, issued on Aug 5, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Katy, TX. The record was last updated on Jun 2, 2025.