CREEKSIDE PREMIER MEDICAL GROUP PLLC – NPI #1487217006
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CREEKSIDE PREMIER MEDICAL GROUP PLLC is a provider located in TOMBALL, TX. NPPES has assigned the NPI number 1487217006 to CREEKSIDE PREMIER MEDICAL GROUP PLLC on April 18, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Aug 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CREEKSIDE PREMIER MEDICAL GROUP PLLC below.

NPI Profile for
CREEKSIDE PREMIER MEDICAL GROUP PLLC

NPI Number
1487217006
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CREEKSIDE PREMIER MEDICAL GROUP PLLC
Primary location
26940 KUYKENDAHL RD STE 200B
TOMBALL, TX 77375-3533
Phone: (346) 522-2550 Fax:
6 Other location(s):
130 Medical Center Pkwy Ste 6B
Huntsville, TX 77340-4943
Phone: (346) 522-2550
1710 W Lake Houston Pkwy Ste 260B
Kingwood, TX 77339-2571
Phone: (346) 522-2550
790 Generations Dr Ste 500B
New Braunfels, TX 78130-2613
Phone: (346) 522-2550
2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813
Phone: (346) 522-2550
3466 Discovery Creek Blvd Ste 600
Spring, TX 77386-7129
Phone: (346) 522-2550
24727 State Highway 249 # 120B
Tomball, TX 77375-7877
Phone: (346) 522-2550
Mailing address
2255 E MOSSY OAKS RD STE 500
SPRING, TX 77389-1813
Phone: (281) 440-5300 Fax:
Organization Subpart
No
Authorized Official
DAVID ELLENT
PRESIDENT
Phone: (281) 440-5300
Updated
Certification Date
Aug 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.