Creekside Diagnostics LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D9043 Issued in TX

Legal business name

CREEKSIDE DIAGNOSTICS LLC

Practice address

8900 Shoal Creek Blvd BLDG 300B
Austin, TX 78757

Phone

(512) 407-8656

NPI assigned

Jun 16, 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

Phone

(512) 407-6856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1295020360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SHOAL CREEK BLVD BLDG 300B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SHOAL CREEK BLVD BLDG 300B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78757",
            "telephone_number": "512-407-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "MSO",
        "authorized_official_telephone_number": "512-407-6856",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "D9043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Creasy
• Lauren Creasy, RD, LD
• Maxine Kay Creath, PH.D.
• Creating Wellness Chiropractic
• Brandy Lynn Credeur, LMT
• Creekside Mental Health
• Creekside Surgical
• Hannah Michelle Crement, CNM
• Carolyn Louise Cremona, LCSW
• Kelsey Crenshaw

• Neurology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.