ODR PEDIATRIC UROLOGY INSTITUTE PLLC (NPI# 1184280695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184280695 |
| Entity Type | Organization |
| Organization Name | ODR PEDIATRIC UROLOGY INSTITUTE PLLC |
| Other Organization Name | CRESCENT UROLOGY INSTITUTE |
| Practice Address |
1200 Binz St Ste 690 Houston TX 77004-6943 |
| Practice Telephone | 7133667931 |
| Practice Fax Number | 7134825815 |
| Mailing Telephone | 7133667931 |
| Mailing Fax Number | 7134825815 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | DUNG Q PHAM (OWNER) |
| Authorized Official Telephone | 7133667831 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ODR PEDIATRIC UROLOGY INSTIUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CRESCENT UROLOGY INSTITUTE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 915 Gessner Rd Ste 985, Houston, TX 77024 | 8327290022 | |
| 10970 Shadow Creek Pkwy Ste 100, Pearland, TX 775840166 | 7133667845 | 7133667997 |
| 17510 W Grand Pkwy S Ste 330, Sugar Land, TX 774792648 | 7133667831 | 7134825815 |
| Street Address |
1200 BINZ ST STE 690 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-6943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932543246 | Dung Pham | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2013-04-18 |
| 1750995874 | Premier Medical Doctors Pllc | Internal Medicine | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2020-09-04 |
| 1063044881 | Crescent Medical Institute Pllc | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2020-02-10 |
| 1326604695 | Kim Lien Vu Tran | Physician Assistant | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932543246 | Dung Pham | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2013-04-18 |
| 1659455616 | Lawrence J. Cisek | Urology | 6410 Fannin St Ste 950, Houston, TX 77030-5204 | 2006-10-25 |
| 1063044881 | Crescent Medical Institute Pllc | Urology | 1200 Binz St Ste 690, Houston, TX 77004-6943 | 2020-02-10 |
| 1821327404 | Houston Pediatric Urology P A | Urology | 7900 Fannin St, Suite 3700, Houston, TX 77054-2934 | 2009-12-10 |
| 1679776272 | Duong Dai Tu | Urology | 6701 Fannin St, Suite 620, Houston, TX 77030-2608 | 2007-06-09 |
| 1568546521 | Edmond T. Gonzales | Urology | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-25 |
| 1477637437 | David R. Roth | Urology | 6701 Fannin St, 8th Floor, Houston, TX 77030-2316 | 2006-10-25 |
| 1306921085 | Eric A. Jones | Urology | 7900 Fannin St, Suite 3700, Houston, TX 77054-2934 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679702377 | Andrew John Marks | Urology | 4499 Medical Dr Ste 360, San Antonio, TX 78229-3857 | 2009-07-02 |
| 1780719997 | Mohammad A Sami | Urology | 26019 Juniper Stone Ln, Katy, TX 77494-2615 | 2007-02-21 |
| 1366411803 | Warren Thomas Snodgrass | Urology | 5680 Frisco Square Blvd Ste 2300, Frisco, TX 75034 | 2006-03-16 |
| 1871589978 | Jeff L Pugach | Urology | 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 | 2005-09-23 |
| 1033652425 | Pediatric Urology of San Antonio Pllc | Urology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-12-02 |
| 1619383650 | Pediatric and Adult Reconstructive Center for Urology, Pllc | Urology | 5680 Frisco Square Blvd, Suite 2300, Frisco, TX 75034-3308 | 2014-07-10 |
| 1326337874 | Matthew David Timberlake | Urology | 3601 4th St Stop 7260, Lubbock, TX 79430-0816 | 2011-04-06 |
| 1154641546 | Gaayana Raju | Urology | 4499 Medical Dr Ste 360, San Antonio, TX 78229-3857 | 2010-06-08 |
| 1700048964 | Jonathan David Kaye | Urology | 750 8th Ave Fl 6, Fort Worth, TX 76104-2515 | 2008-06-30 |
| 1942460191 | Irina Stanasel | Urology | 5323 Harry Hines Blvd, Dallas, TX 75390-1740 | 2008-06-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.