Provider Demographics
NPI:1285511147
Name:CRESCENT MEDICAL GROUP PLLC
Entity type:Organization
Organization Name:CRESCENT MEDICAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:QADEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-215-5536
Mailing Address - Street 1:1717 W 34TH ST STE 600-195
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-6256
Mailing Address - Country:US
Mailing Address - Phone:832-215-5536
Mailing Address - Fax:713-389-8913
Practice Address - Street 1:1740 W 27TH ST STE 321
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1437
Practice Address - Country:US
Practice Address - Phone:832-215-5536
Practice Address - Fax:713-389-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty