Healthcare Provider Details

I. General information

NPI: 1669928818
Provider Name (Legal Business Name): CYPRESS CREEK ER OF HARMONY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 09/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 RAYFORD RD SUITE 110
SPRING TX
77386-4343
US

IV. Provider business mailing address

20320 NORTHWEST FWY SUITE 900
JERSEY VILLAGE TX
77065-5641
US

V. Phone/Fax

Practice location:
  • Phone: 281-453-8282
  • Fax: 281-453-8299
Mailing address:
  • Phone: 281-453-7232
  • Fax: 281-440-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MINH C NGUYEN
Title or Position: OWNER
Credential: MD
Phone: 281-453-7232