Krisbin Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KRISBIN MEDICAL LLC

Doing business as

Cordial Care Family Practice

Practice address

208 Oak Dr S Ste 501
Lake Jackson, TX 77566-5789

Phone

(979) 267-7722

Fax

(979) 428-1199

NPI assigned

Mar 19, 2021

Last updated

Nov 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Augnes Christy Binu, NURSE PRACTITIONERNPI 1366984106

Title

FNP-C, Acnpc-Ag

Phone

(979) 267-7722

Specialties & licenses 2

Addresses

Other names 1

• Cordial Care Family Practice Doing business as

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Augnes Binu, FNP-C, ACNPC-AG

  • Family Nurse Practitioner
  • Lake Jackson, TX
  • NPI 1366984106

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699747200000",
    "number": "1184200248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 OAK DR S STE 501",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665789",
            "telephone_number": "979-267-7722",
            "fax_number": "979-428-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OAK DR S STE 501",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665789",
            "telephone_number": "979-267-7722",
            "fax_number": "979-428-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISBIN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "BINU",
        "authorized_official_first_name": "AUGNES",
        "authorized_official_middle_name": "CHRISTY",
        "authorized_official_title_or_position": "FNP-C, ACNPC-AG",
        "authorized_official_telephone_number": "979-267-7722",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordial Care Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cordial Care Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• KNH/TBC, Inc. (Total Body Chiropractic)
• Koury & Mitschke Dentistry Partnership
• Philip C Koury, DDS
• Ted Armstrong Kovacev, MD
• Blair William Krell, M.D.
• Gollavelli Jyothi Krishna, MD
• Kristina Kirkland Kulcak, D.C.
• Kelley D Kweon, O.D.
• Bailey Victoria Laday
• Amy Catherine Laird-Payne, PYSICIAN ASSISTANT

• Clinic/Center in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2023; 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.