1960 PHYSICIAN ASSOCIATES NPI 1215391941

NPI Information

  • NPI: 1215391941
  • Provider Name: 1960 PHYSICIAN ASSOCIATES
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 45D0679774
  • Address: 837 CYPRESS CREEK PKWY
    SUITE 105
    HOUSTON, TX
    ZIP 77090
  • Phone: (281) 453-2585

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NPI Details

1960 PHYSICIAN ASSOCIATES is a multi-specialty clinic center in Houston, TX. 1960 PHYSICIAN ASSOCIATES NPI is 1215391941. The provider is registered as an organization entity type.

The provider's business location address is:

837 CYPRESS CREEK PKWY
SUITE 105
HOUSTON, TX
ZIP 77090-423
Phone: (281) 453-2585
Fax: (281) 440-2020

The provider's authorized official is Jennifer Sydenham .
The authorized official title is Authorized Official and has the following contact phone number (832) 703-9060.

The CLIA number assigned to this NPI record is 45D0679774 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2016 and was last updated on 1/7/2020.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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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