Cypress Creek Pediatric Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

Q1802 Issued in TX

Legal business name

CYPRESS CREEK PEDIATRIC CLINIC

Practice address

4560 Cypress Creek Pkwy Ste 100
Houston, TX 77069-4628

Phone

(281) 444-0000

Fax

(281) 444-6158

NPI assigned

May 4, 2018

Last updated

Jun 16, 2018By 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

Nalina Chandrasekharan, MDNPI 1104967025

Title

Physician

Phone

(281) 444-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Nalina Chandrasekharan, MD

  • Pediatrics Physician
  • Tomball, TX
  • NPI 1104967025
  NPD Authorized official

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1811486814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 CYPRESS CREEK PKWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694628",
            "telephone_number": "281-444-0000",
            "fax_number": "281-444-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 CYPRESS CREEK PKWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694628",
            "telephone_number": "281-444-0000",
            "fax_number": "281-444-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CHANDRASEKHARAN",
        "authorized_official_first_name": "NALINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-444-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q1802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104967025",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cypress Counseling and Psychotherapy
• Cypress Counseling Center PLLC
• Cypress Creek ER PLLC
• Cypress Creek Healthcare, Inc. (The Hampton Health Care Center At Willowbrook)
• Cypress Creek Medical Transportation LLC
• Cypress Creek Physician Management
• Cypress Express LLC
• Cypress Fairbanks Independent School District
• Cypress Fairbanks Medical Center
• Cypress Fairbanks Women's Clinic, P.a.

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.