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CENTRUM MEDICAL GROUP, PLLC
NPI 1194478073
General Practice in Cypress, TX

Active since January 31, 2022CLIA 45D2259929 · Waiver
17515 SPRING CYPRESS RD UNIT 1, CYPRESS, TX 77429(800) 218-8989(786) 558-0242 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centrum Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRUM MEDICAL GROUP, PLLC (NPI 1194478073) is a healthcare organization registered as a general practice in Cypress, Texas and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Graciela Victorero, Coo, as its authorized official.

NPPES Registry Identity

NPI1194478073
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRUM MEDICAL GROUP, PLLC
Location Address17515 SPRING CYPRESS RD UNIT 1Cypress, TX 77429-2688
Mailing Address9250 Nw 36th St Ste 420Doral, FL 33178-2775 · (305) 266-2929
Phone(800) 218-8989
Fax(786) 558-0242
Organization SubpartNo
Authorized OfficialGraciela VictoreroCoo · (305) 266-2929
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1194478073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
17515 SPRING CYPRESS RD UNIT 1, Cypress, TX 77429
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2259929

Centrum Medical Group, PLLC · Cypress, TX
Active · expires May 11, 2028
CLIA Number45D2259929
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorAyesha Sultana Khan
Laboratory Phone(484) 640-3643
Laboratory LocationCentrum Medical Group, PLLC17515 Spring Cypress, Suite 1, Cypress, TX 77429
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANKEVA POUNDS MSN, NP-C
Nurse Practitioner (Psychiatric/Mental Health)
17515 SPRING CYPRESS RD UNIT 1
CYPRESS, TX 77429
Harris County (305) 266-2929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centrum Medical Group, PLLC's NPI number?

The NPI number for Centrum Medical Group, PLLC is 1194478073. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Centrum Medical Group, PLLC located?

Centrum Medical Group, PLLC is located at 17515 Spring Cypress Rd Unit 1, Cypress, TX 77429. The listed phone number is (800) 218-8989.

What is Centrum Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Centrum Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2259929) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centrum Medical Group, PLLC was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.