CRESCENT MEDICAL INSTITUTE PLLC (NPI# 1063044881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063044881 |
| Entity Type | Organization |
| Organization Name | CRESCENT MEDICAL INSTITUTE PLLC |
| Practice Address |
1200 Binz St Ste 690 Houston TX 77004-6943 |
| Practice Telephone | 7133667831 |
| Practice Fax Number | 7134825815 |
| Mailing Telephone | 7133667831 |
| Mailing Fax Number | 7134825815 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | DR. DUNG Q PHAM (OWNER) |
| Authorized Official Telephone | 3463395949 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 915 Gessner Rd Ste 985, Houston, TX 770242558 | 7133667831 | 7134825815 |
| 10970 Shadow Creek Pkwy Ste 100, Pearland, TX 775840166 | 7133667831 | 7134825815 |
| 17510 W Grand Pkwy S Ste 330, Sugar Land, TX 774792648 | 7133667831 | 7134825815 |
| Street Address |
1200 BINZ ST STE 690 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-6943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932543246 | Dung Pham | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2013-04-18 |
| 1750995874 | Premier Medical Doctors Pllc | Internal Medicine | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2020-09-04 |
| 1326604695 | Kim Lien Vu Tran | Physician Assistant | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2019-05-13 |
| 1184280695 | Odr Pediatric Urology Institute Pllc | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2019-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1922425230 | Boston Medical Group - Texas, P.a. | Urology | 1776 Yorktown St Ste 110, Houston, TX 77056-4138 | 2014-03-25 |
| 1902232846 | Hajar Ayoub | Urology | 6410 Fannin St Ste 420, Uthealth Urology Physicians, Houston, TX 77030-3007 | 2013-09-24 |
| 1326389941 | Harvey Lawrence Gordon | Urology | 1401 Calumet St, Unit #512, Houston, TX 77004-7157 | 2013-03-06 |
| 1619230869 | Jonathan Clavell Hernandez | Urology | 1315 St Joseph Pkwy Ste 1700, Houston, TX 77002-8232 | 2012-06-22 |
| 1528327715 | Alberto Christian Pieretti | Urology | 1515 Holcombe Blvd Unit 1373, Houston, TX 77030-4000 | 2012-05-09 |
| 1437417490 | Demetrio Tagaropules M.d., P.a. | Urology | 820 Richmond Ave, Houston, TX 77006-5514 | 2012-04-27 |
| 1831469428 | John Mathis Baird | Urology | 1201bering Dr., #75, Houston, TX 77057-2308 | 2012-01-12 |
| 1043540149 | Kumaran Sathyamoorthy | Urology | 2204 Bellefontaine St, Houston, TX 77030-3202 | 2010-01-12 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.