NPIMap

Organization Active NPI

Cypress Lake Lodge

  • Substance Abuse Rehabilitation Facility
  • Woodville, TX
National Provider Identifier
1831642933
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CYPRESS LAKE LODGE
Practice address
1129 US Highway 287
Woodville, TX 75979-3722
Phone
(281) 384-7815
Fax
(713) 527-8558
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Dr. James Flowers, M.D.
Title
Ceo
Phone
(713) 568-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1129 US Highway 287
Woodville, TX 75979-3722

Mailing address

1129 US Highway 287
Woodville, TX 75979-3722
Phone (281) 384-7815

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1831642933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 US HIGHWAY 287",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759793722",
            "telephone_number": "281-384-7815",
            "fax_number": "713-527-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 US HIGHWAY 287",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759793722",
            "telephone_number": "281-384-7815",
            "fax_number": "713-527-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS LAKE LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-568-1210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.