Creekside Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CREEKSIDE FAMILY PRACTICE PLLC

Practice address

14502 Spring Cypress Rd Ste 500
Cypress, TX 77429

Phone

(281) 246-1571

NPI assigned

Jul 31, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hammad Qureshi, MDNPI 1205123528

Title

Owner

Phone

(832) 726-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hammad Qureshi

  • Family Medicine Physician
  • Cypress, TX
  • NPI 1205123528
  Medicare reassignment NPD Authorized official
• Stella Njoki Oliver, FNP

  • Primary Care Nurse Practitioner
  • Cypress, TX
  • NPI 1912534314
  Medicare reassignment NPD
• Heather Michelle Cruz, PA

  • Physician Assistant
  • Cypress, TX
  • NPI 1447841127
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1043798226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 SPRING CYPRESS RD STE 500",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297578",
            "telephone_number": "281-246-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 SPRING CYPRESS RD STE 500",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-246-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "HAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-726-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Tate Crawford, DPT
• Jaime A Crawley, PHARMD
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• Benjamin Creed, D.D.S., M.S.D.
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• Holly Ann Crosby, MA, LMFT
• Natasha Crosby, LCSW

• Family Medicine Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.