Organization Active NPI

Gemini Creek Procedure Suite LLC

  • Specialist
  • Spring, TX
National Provider Identifier
1922456557
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GEMINI CREEK PROCEDURE SUITE LLC
Practice address
1544 Sawdust Rd
Ste 280
Spring, TX 77380-2929
Phone
(281) 292-7411
Fax
(281) 292-7481
NPI assigned
May 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Kent Olsan
Title
Owner
Phone
(281) 292-7411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1544 Sawdust Rd
Ste 280
Spring, TX 77380-2929

Mailing address

1544 Sawdust Rd
Ste 280
Spring, TX 77380-2929
Phone (281) 292-7411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1922456557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD",
            "address_2": "STE 280",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802929",
            "telephone_number": "281-292-7411",
            "fax_number": "281-292-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD",
            "address_2": "STE 280",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802929",
            "telephone_number": "281-292-7411",
            "fax_number": "281-292-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI CREEK PROCEDURE SUITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "OLSAN",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-292-7411"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.