Active NPI
Fairfield Medical Center LLP
- Family Medicine Physician
- Cypress, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAIRFIELD MEDICAL CENTER LLP
- Practice address
- 15040 Fairfield Village Square Dr
Ste 150
Cypress, TX 77433-5952 - Phone
- (281) 304-5100
- Fax
- (281) 304-5191
- NPI assigned
- May 8, 2013
- Last updated
- Jan 13, 2018
- 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. Jennifer S Kwak, MD
- Title
- Managing Partner
- Phone
- (281) 304-5100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
15040 Fairfield Village Square Dr
Ste 150
Cypress, TX 77433-5952
Mailing address
15040 Fairfield Village Square Dr Ste 150
Cypress, TX 77433-7901
Phone (281) 304-5100
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 |
|---|---|---|---|
| 45D1014255 | Fairfield Medical Center LLP | Provider-performed microscopy | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Cypress, TX
- NPI 1427045145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515801600000",
"number": "1538504196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15040 FAIRFIELD VILLAGE SQUARE DR STE 150",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774337901",
"telephone_number": "281-304-5100",
"fax_number": "281-304-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15040 FAIRFIELD VILLAGE SQUARE DR",
"address_2": "STE 150",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774335952",
"telephone_number": "281-304-5100",
"fax_number": "281-304-5191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRFIELD MEDICAL CENTER LLP",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-08",
"last_updated": "2018-01-13",
"status": "A",
"authorized_official_last_name": "KWAK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "281-304-5100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"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 Jan 13, 2018; 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.