Active NPI
Cypress Surgicare of Texas LLC
- Plastic Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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
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., MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.delacruzplasticsurgery | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2238787 | Cypress Surgicare | Certificate of waiver | Oct 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- The Woodlands, TX
- NPI 1922208164
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.