INNOVISTA PROVIDER GROUP TEXAS PA – NPI #1265087472
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

INNOVISTA PROVIDER GROUP TEXAS PA is a provider located in KATY, TX. NPPES has assigned the NPI number 1265087472 to INNOVISTA PROVIDER GROUP TEXAS PA on August 05, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jun 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INNOVISTA PROVIDER GROUP TEXAS PA below.

NPI Profile for
INNOVISTA PROVIDER GROUP TEXAS PA

NPI Number
1265087472
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INNOVISTA PROVIDER GROUP TEXAS PA
Other name(s)
All associated names:
Doing Business As (dba)
Innovista Katy
Former Legal Business Name
Innovista Medical Center of Texas PA
Primary location
2610 NORTH MASON ROAD
KATY, TX 77449
Phone: (305) 470-2929 Fax:
Mailing address
PO BOX 8150
WESTCHESTER, IL 60154-8150
Phone: (844) 665-4827 Fax: (855) 485-0093
Organization Subpart
Yes - INNOVISTA PROVIDER GROUP TEXAS PA is subpart of another organization.
Authorized Official
MIA WILLHITE
OWNER
Phone: (269) 720-7042
Updated
Certification Date
Jun 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.