| Cypress Signature Gastroenterology Pllc | |
|
27700 Northwest Fwy Ste 350 Cypress TX 77433-7749 | |
| (346) 666-1616 | |
| (346) 666-6613 |
| Full Name | Cypress Signature Gastroenterology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 27700 Northwest Fwy Ste 350, Cypress, Texas |
| Authorized Official Name and Position | Sameer Siddique (MANAGING PARTNER) |
| Authorized Official Contact | 3466666616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Signature Gastroenterology Pllc 27700 Northwest Fwy Ste 350 Cypress TX 77433-7749 Ph: (346) 666-6616 | Cypress Signature Gastroenterology Pllc 27700 Northwest Fwy Ste 350 Cypress TX 77433-7749 Ph: (346) 666-1616 |
| NPI Number | 1922588896 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 09/21/2020 |
| Medicare PECOS PAC ID | 8527311752 |
|---|---|
| Medicare Enrollment ID | O20181105002168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922588896 | NPI | - | NPPES |
| 393569401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Sameer Siddique |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053544130 PECOS PAC ID: 5092959650 Enrollment ID: I20181210000658 |
| Provider Name | Minu Parappuram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033740634 PECOS PAC ID: 3173926516 Enrollment ID: I20210723000049 |
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