Organization
CREEKSIDE PREMIER MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P ELLENT MD (PRESIDENT)
(281) 440-5300
Entity
Organization
Contact information
Practice address
26940 KUYKENDAHL RD STE 200B, TOMBALL, TX 77375-3533
(346) 522-2550
Mailing address
2255 E MOSSY OAKS RD STE 500, SPRING, TX 77389-1813
(281) 440-5300
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
04/18/2019
Last updated
08/27/2025
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