EXTENDING CREATIVE MINDS NPI 1417301763

NPI Information

NPI: 1417301763
Provider Name: EXTENDING CREATIVE MINDS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10311 HOMESTEAD RD
HOUSTON, TX
ZIP 77016
Phone: (832) 506-8121
Get Directions

EXTENDING CREATIVE MINDS is a family medicine in Houston, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EXTENDING CREATIVE MINDS NPI is 1417301763. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10311 HOMESTEAD RD
HOUSTON, TX
ZIP 77016-305
Phone: (832) 506-8121
Fax: (832) 717-2781

The provider's authorized official is Lakisha R Dickerson .
The authorized official title is Chief Executive Officer and has the following contact phone number (832) 506-8121.

The enumeration date for this NPI number is 4/22/2016 and was last updated on 5/30/2017.

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
1	1041C0700X	Social Worker	Clinical	57323	TEXAS	No
2	1041C0700X	Social Worker	Clinical	08693	TEXAS	No
3	1835P1300X	Pharmacist	Psychiatric	33415	TEXAS	No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	K8989	TEXAS	No
5	207Q00000X	Family Medicine				Yes

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: 4/28/2024

NPI Synchronization or Removal

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