NPI Code Details Logo

NPI 1558174615

NPI 1558174615 : CREATIVE BUREAU INC : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558174615
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CREATIVE BUREAU INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/30/2025
-----------------------------------------------------
    Last Update Date     |    02/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7350 HARWIN DR STE 316A 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77036-2070
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-907-7642
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7350 HARWIN DR STE 316A 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77036-2070
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-907-7642
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     FARHAN  SIDDIQUI 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    832-907-7642
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171WH0202X
-----------------------------------------------------
    Taxonomy Name        |    Home Modifications Contractor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    347C00000X
-----------------------------------------------------
    Taxonomy Name        |    Private Vehicle
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.