Creekside Surgical

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

H6973 Issued in TX

Legal business name

CREEKSIDE SURGICAL

Practice address

8900 Shoal Creek Blvd
BLDG 301B
Austin, TX 78757-6810

Phone

(512) 407-6855

Fax

(512) 524-2251

NPI assigned

Dec 15, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Candice Aguirre

Title

Mso Manager

Phone

(512) 407-6855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1255600508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SHOAL CREEK BLVD",
            "address_2": "BLDG 301B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576810",
            "telephone_number": "512-407-6855",
            "fax_number": "512-524-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SHOAL CREEK BLVD",
            "address_2": "BLDG 301B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576810",
            "telephone_number": "512-407-6855",
            "fax_number": "512-524-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "MSO MANAGER",
        "authorized_official_telephone_number": "512-407-6855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H6973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine Kay Creath, PH.D.
• Creating Wellness Chiropractic
• Brandy Lynn Credeur, LMT
• Creekside Diagnostics LLC
• Creekside Mental Health
• Hannah Michelle Crement, CNM
• Carolyn Louise Cremona, LCSW
• Kelsey Crenshaw
• Sherri Crespin
• Natalia Patricia Crespo- Navar, OTD, OTR

• Orthopaedic Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.