Organization Active NPI

Medical Integrated Group, LLLP

  • Emergency Medicine Physician
  • Tomball, TX
National Provider Identifier
1033533799
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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

Updated by the provider on Feb 17, 2014

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.