Organization Active NPI

Creekside Integrative Medical Center LLC

  • Interventional Pain Medicine Physician
  • Friendswood, TX
National Provider Identifier
1376012732
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CREEKSIDE INTEGRATIVE MEDICAL CENTER LLC
Practice address
3344 E FM 528 Rd
Friendswood, TX 77546-5012
Phone
(281) 993-2225
NPI assigned
Nov 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Gabor Farkas, MD
Title
Medical Director
Phone
(281) 993-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3344 E FM 528 Rd
Friendswood, TX 77546-5012

Mailing address

3344 E FM 528 Rd
Friendswood, TX 77546-5012
Phone (281) 993-2225

National Provider Directory

National Provider Directory

Locations

3344 E FM 528 Rd
Friendswood, TX 77546
Phone (281) 739-6447

3344 E FM 528 Rd
Ste A
Friendswood, TX 77546
Phone (281) 993-2225

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1376012732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 E FM 528 RD",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465012",
            "telephone_number": "281-993-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 E FM 528 RD",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465012",
            "telephone_number": "281-993-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE INTEGRATIVE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "FARKAS",
        "authorized_official_first_name": "GABOR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-993-2225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.