KRISBIN MEDICAL LLC NPI 1184200248

NPI Information

  • NPI: 1184200248
  • Provider Name: KRISBIN MEDICAL LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: CORDIAL CARE FAMILY PRACTICE
  • CLIA Number: 45D2218326
  • Address: 208 OAK DR S STE 501
    LAKE JACKSON, TX
    ZIP 77566
  • Phone: (979) 267-7722

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NPI Details

KRISBIN MEDICAL LLC is a clinic center in Lake Jackson, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KRISBIN MEDICAL LLC NPI is 1184200248. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cordial Care Family Practice.

The provider's business location address is:

208 OAK DR S STE 501
LAKE JACKSON, TX
ZIP 77566-789
Phone: (979) 267-7722
Fax: (979) 428-1199

The provider's authorized official is Augnes Christy Binu .
The authorized official title is Fnp-c, Acnpc-ag and has the following contact phone number (979) 267-7722.

The CLIA number assigned to this NPI record is 45D2218326 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2021 and was last updated on 11/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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