Organization Active NPI

Cypress Surgicare of Texas LLC

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1366118192
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
CYPRESS SURGICARE OF TEXAS LLC
Practice address
15016 FM 529 W.
Houston, TX 77095
Phone
(832) 776-1134
Fax
(832) 616-3429
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Dr. Emmanuel Avelino De la Cruz Jr., MDNPI 1922208164
Title
President
Phone
(832) 776-1134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

15016 FM 529 W.
Houston, TX 77095

Mailing address

2219 Sawdust Rd Ste 1203
The Woodlands, TX 77380-2581
Phone (832) 776-1134

Other names 1

  • Cypress Surgicare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.delacruzplasticsurgery Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2238787Cypress Surgicare15016 FM 529 W, Houston, TX 77095Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

15016 FM 529 Rd
Houston, TX 77095
Phone (832) 776-1134

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1366118192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 SAWDUST RD STE 1203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802581",
            "telephone_number": "832-776-1134",
            "fax_number": "832-616-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15016 FM 529 W.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77095",
            "telephone_number": "832-776-1134",
            "fax_number": "832-616-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS SURGICARE OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "AVELINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-776-1134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.delacruzplasticsurgery",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15016 FM 529 W.",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cypress Surgicare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.