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Contact Information

CREEKSIDE PREMIER MEDICAL GROUP PLLC
26940 KUYKENDAHL RD STE 200B
TOMBALL, TX77375-3533
 Phone: 346-522-2550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CREEKSIDE PREMIER MEDICAL GROUP PLLC

NPI # 1487217006
LBN Legal business name CREEKSIDE PREMIER MEDICAL GROUP PLLC
Authorized official DAVID ELLENT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2019
Last updated 08/27/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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