Healthcare Provider Details

I. General information

NPI: 1417816067
Provider Name (Legal Business Name): CESAR A LEMUS CARRERA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21000 GOSLING RD
SPRING TX
77388-5230
US

IV. Provider business mailing address

21000 GOSLING RD APT 6210
SPRING TX
77388-5559
US

V. Phone/Fax

Practice location:
  • Phone: 346-490-1372
  • Fax:
Mailing address:
  • Phone: 346-490-1372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1215124
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: