Organization Active NPI

Crescent Neurology P.a.

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1992795751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
M1780 Issued in TX
Legal business name
CRESCENT NEUROLOGY P.A.
Practice address
800 Peakwood Dr
Suite 6-D
Houston, TX 77090-2900
Phone
(281) 586-8800
Fax
(281) 586-8822
NPI assigned
Oct 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fatima Ibrahim, M.D.
Title
President
Phone
(281) 586-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X M1780 TX Primary

Addresses

Primary practice location

800 Peakwood Dr
Suite 6-D
Houston, TX 77090-2900

Mailing address

PO Box 73829
Houston, TX 77273-3829
Phone (281) 586-8800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992795751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73829",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733829",
            "telephone_number": "281-586-8800",
            "fax_number": "281-586-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "SUITE 6-D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902900",
            "telephone_number": "281-586-8800",
            "fax_number": "281-586-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT NEUROLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-586-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "M1780",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.