Organization Active NPI

Premier Health Primary Care PLLC

  • Family Medicine Physician
  • Cypress, TX
National Provider Identifier
1376490490
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREMIER HEALTH PRIMARY CARE PLLC
Practice address
11702 Grant Rd Ste F
Cypress, TX 77429-5771
Phone
(281) 766-8040
Fax
(281) 766-8041
NPI assigned
Mar 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Maydelis Suarez Rivas, FNP
Title
FNP
Phone
(281) 766-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11702 Grant Rd Ste F
Cypress, TX 77429-5771

Mailing address

11702 Grant Rd Ste F
Cypress, TX 77429-5771
Phone (281) 766-8040

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
45D2340395Premier Health Primary Care11702 Grant Rd Suite F, Cypress, TX 77429Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

11702 Grant Rd
Ste F
Cypress, TX 77429
Phone (281) 766-8040

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": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1376490490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11702 GRANT RD STE F",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295771",
            "telephone_number": "281-766-8040",
            "fax_number": "281-766-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11702 GRANT RD STE F",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295771",
            "telephone_number": "281-766-8040",
            "fax_number": "281-766-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "SUAREZ RIVAS",
        "authorized_official_first_name": "MAYDELIS",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "281-766-8040",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.