Odr Pediatric Urology Institute PLLC

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

Legal business name

ODR PEDIATRIC UROLOGY INSTITUTE PLLC

Doing business as

Crescent Urology Institute

Practice address

12000 Richmond Ave Ste 175
Houston, TX 77082-2963

Phone

(713) 366-7931

Fax

(713) 482-5815

NPI assigned

May 10, 2019

Organization subpart

Yes

Parent organization

ODR PEDIATRIC UROLOGY INSTITUTEAs reported in NPPES

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

Authorized official

Name

Dung Q Pham, MDNPI 1932543246

Title

Owner

Phone

(713) 366-7831

Specialties & licenses 2

Addresses

Other names 1

• CRESCENT UROLOGY INSTITUTE 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

Part of

Odr Ped Urol Inst

Locations

Practitioners 5

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

• Dung Q Pham, M.D

  • Pediatric Urology Physician
  • Houston, TX
  • NPI 1932543246
  Medicare reassignment Care Compare group NPD Authorized official
• Bryan M Pham, M.D.

  • Urology Physician
  • Houston, TX
  • NPI 1154702033
  Medicare reassignment Care Compare group NPD
• Peter Phuc Hinh, MD

  • Urology Physician
  • Houston, TX
  • NPI 1033404629
  Medicare reassignment NPD
• Caroline Jones

  • Physician Assistant
  • Houston, TX
  • NPI 1619561610
  Medicare reassignment
• Dat M Nguyen, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1588294441
  NPD (past)

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1184280695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 RICHMOND AVE STE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822963",
            "telephone_number": "713-366-7931",
            "fax_number": "713-482-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 RICHMOND AVE STE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822963",
            "telephone_number": "713-366-7931",
            "fax_number": "713-482-5815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6156 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770576210",
            "country_code": "US",
            "telephone_number": "713-366-7831",
            "fax_number": "713-482-5815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODR PEDIATRIC UROLOGY INSTITUTE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ODR PEDIATRIC UROLOGY INSTITUTE",
        "enumeration_date": "2019-05-10",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-366-7831",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESCENT UROLOGY INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly L Odom, LPN
• Leroy Odom, MD
• Samantha Andrea Odom, SLPA
• Tanner Dwain Odom, DC
• Thomas Odonohoe, MD
• Nancy Omeogor Oduah
• Jesse Oduaran
• Anthony E Odubele
• Olajumoke Odufuye, M.D.
• Kehinde Odugbesan

• Pediatric Urology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.