NPI age
5 years
Enumerated 2021-04-15
● Active Type 2 · Organization
Peach State Medical Practice, Pc
Peach State Medical Practice, Pc is 1 of 12 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Sasan
Founding Obgyn
Last NPPES update
2024-05-20
Source: monthly bulk 2026-05
How this organization compares
Across 12 active clinic/center providers in Texas.
NPI age
5 years
↓ 6 yr below median
Practice locations
3
2 secondary on file
Subspecialties
1
In the 8% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-04Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
100 Colorado St
Austin, TX 787014147
Mailing address
333 S Desplaines St Ste 201
Chicago, IL 606615514
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1111 Uptown Park Blvd Ste 2
Houston, TX 770563224
Location 3
8041 Walnut Hill Ln Ste 870
Dallas, TX 752310954
Authorized official
Fahimeh Sasan, DO
Founding Obgyn
📞 8555632639
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jacqueline Flores, NP Nurse Practitioner NPI 1558638916
Specialties
-
Clinic/Center PrimaryA fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight...
-
Clinic/CenterAn entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kindbody of TX Medical Practice
-
Kindbody of TX Medical Practice
Practice context
Multi-provider organization. 1 individual provider on file at this primary address. Plus 2 secondary practice locations.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.