Active NPI
Premier Health Primary Care PLLC
- Family Medicine Physician
- Cypress, TX
National Provider Identifier
1376490490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 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 |
|---|---|---|---|
| 45D2340395 | Premier Health Primary Care | Certificate of waiver | Mar 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Katy, TX
- NPI 1962048751
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.