| Creekside Family Practice Pllc | |
|
14502 Spring Cypress Rd Ste 500 Cypress TX 77429 | |
| (281) 246-1571 | |
| Not Available |
| Full Name | Creekside Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 14502 Spring Cypress Rd Ste 500, Cypress, Texas |
| Authorized Official Name and Position | Hammad Qureshi (OWNER) |
| Authorized Official Contact | 8327268200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Family Practice Pllc 14502 Spring Cypress Rd Ste 500 Cypress TX 77429-7578 Ph: (281) 246-1571 | Creekside Family Practice Pllc 14502 Spring Cypress Rd Ste 500 Cypress TX 77429 Ph: (281) 246-1571 |
| NPI Number | 1043798226 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 0941558068 |
|---|---|
| Medicare Enrollment ID | O20180807001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043798226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hammad A Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205123528 PECOS PAC ID: 8123242120 Enrollment ID: I20140613000364 |
| Provider Name | Stella Njoki Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912534314 PECOS PAC ID: 0143642165 Enrollment ID: I20200622000508 |
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