Provider Demographics
NPI:1528373271
Name:SUMMER CREEK PHYSICIANS, PLLC
Entity type:Organization
Organization Name:SUMMER CREEK PHYSICIANS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOAN
Authorized Official - Middle Name:THUY
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-458-9001
Mailing Address - Street 1:11501 NORTH SAM HOUSTON PARKWAY EAST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396
Mailing Address - Country:US
Mailing Address - Phone:281-458-9001
Mailing Address - Fax:281-458-9002
Practice Address - Street 1:11501 NORTH SAM HOUSTON EAST PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396
Practice Address - Country:US
Practice Address - Phone:281-458-9001
Practice Address - Fax:281-458-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5654207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty