Active NPI
Medical Integrated Group, LLLP
- Emergency Medicine Physician
- Tomball, TX
National Provider Identifier
1033533799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MEDICAL INTEGRATED GROUP, LLLP
- Practice address
- 25420 Kuykendahl Rd
Suite 300
Tomball, TX 77375 - Phone
- (832) 289-0976
- NPI assigned
- Feb 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George M Davis, MD
- Title
- Director / Authorized Official
- Phone
- (832) 289-0976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
25420 Kuykendahl Rd
Suite 300
Tomball, TX 77375
Mailing address
9595 Six Pines Drive
#6250
The Woodlands, TX 77380-1551
Phone (832) 289-0976
Other names 1
- Creekside Urgent Care Center
National Provider Directory
National Provider DirectoryLocations
25420 Kuykendahl Rd
Ste 300
Tomball, TX 77375
Phone (832) 289-0976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392595200000",
"number": "1033533799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9595 SIX PINES DRIVE",
"address_2": "#6250",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801551",
"telephone_number": "832-289-0976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25420 KUYKENDAHL RD",
"address_2": "SUITE 300",
"city": "TOMBALL",
"state": "TX",
"postal_code": "77375",
"telephone_number": "832-289-0976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL INTEGRATED GROUP, LLLP",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-14",
"last_updated": "2014-02-17",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR / AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "832-289-0976",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Creekside Urgent Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.