Pasadena Physicians Medical Management Group LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PASADENA PHYSICIANS MEDICAL MANAGEMENT GROUP LLC

Doing business as

Crenshaw Urgent Care

Practice address

5044 Crenshaw Road
Suite 100
Pasadena, TX 77505-3047

Phone

(281) 258-4836

NPI assigned

Mar 9, 2017

Last updated

Mar 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Souheil S Haddad, M.D

Title

Ceo

Phone

(281) 258-4836

Specialties & licenses 1

Addresses

Other names 1

• CRENSHAW URGENT CARE Doing business as

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1609317775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 CRENSHAW ROAD",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053047",
            "telephone_number": "281-258-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 CRENSHAW ROAD",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053047",
            "telephone_number": "281-258-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PHYSICIANS MEDICAL MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "SOUHEIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-258-4836",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRENSHAW URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.