Providence ER of Baytown PLLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

PROVIDENCE ER OF BAYTOWN PLLC

Doing business as

Cypress Creek ER

Practice address

0 Garth Rd
Baytown, TX 77521

Phone

(281) 453-7232

Fax

(281) 453-2203

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Arin Tijerina

Title

Credentialing

Phone

(281) 453-7232

Specialties & licenses 1

Addresses

Other names 1

• CYPRESS CREEK ER Doing business as

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1073091146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 900",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655620",
            "telephone_number": "281-453-7232",
            "fax_number": "281-453-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "281-453-7232",
            "fax_number": "281-453-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE ER OF BAYTOWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "TIJERINA",
        "authorized_official_first_name": "ARIN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "281-453-7232"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYPRESS CREEK ER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CYPRESS CREEK ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Care Clinic/Center in Baytown, TX
• Providers in Baytown, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.