Organization Active NPI

Cypress Creek Physician Management

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1912294380
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CYPRESS CREEK PHYSICIAN MANAGEMENT
Practice address
847 FM 1960 Rd W
Suite 100a
Houston, TX 77090-3403
Phone
(281) 453-7916
Fax
(281) 440-2020
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Mrs. Stacy Williams
Title
Owner
Phone
(281) 453-7916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X TX Primary
Physical Therapy Clinic/Center 261QP2000X TX

Addresses

Primary practice location

847 FM 1960 Rd W
Suite 100a
Houston, TX 77090-3403

Mailing address

847 FM 1960 Rd W
Suite 100a
Houston, TX 77090-3403
Phone (281) 453-7916

National Provider Directory

National Provider Directory

Locations

847 FM 1960 Rd W
Ste 100A
Houston, TX 77090
Phone (281) 453-7110

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1912294380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 FM 1960 RD W",
            "address_2": "SUITE 100A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903403",
            "telephone_number": "281-453-7916",
            "fax_number": "281-440-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 FM 1960 RD W",
            "address_2": "SUITE 100A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903403",
            "telephone_number": "281-453-7916",
            "fax_number": "281-440-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK PHYSICIAN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-453-7916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.