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EXTENDING CREATIVE MINDS
NPI 1417301763
Family Medicine in Houston, TX

Active since April 22, 2016
10311 HOMESTEAD RD, HOUSTON, TX 77016(832) 506-8121(832) 717-2781 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Extending Creative Minds NPPES

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

EXTENDING CREATIVE MINDS (NPI 1417301763) is a healthcare organization registered as a family medicine in Houston, Texas and active in the NPI registry since April 2016. The organization lists Lakisha R Dickerson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1417301763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEXTENDING CREATIVE MINDS
Location Address10311 HOMESTEAD RDHouston, TX 77016-3305
Mailing Address10311 Homestead RdHouston, TX 77016-3305 · (832) 506-8121
Phone(832) 506-8121
Fax(832) 717-2781
Organization SubpartNo
Authorized OfficialLakisha R DickersonChief Executive Officer · (832) 506-8121
Enumeration DateApril 22, 2016
Last NPPES UpdateMay 30, 2017
✔ NPI 1417301763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 57323 (TX), 08693 (TX)
Also ListedPharmacist · PsychiatricTaxonomy 1835P1300X · License 33415 (TX)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License K8989 (TX)
10311 HOMESTEAD RD, Houston, TX 77016
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Extending Creative Minds's NPI number?

The NPI number for Extending Creative Minds is 1417301763. It was assigned to this organization in the NPPES registry on April 22, 2016.

Where is Extending Creative Minds located?

Extending Creative Minds is located at 10311 Homestead Rd, Houston, TX 77016. The listed phone number is (832) 506-8121.

What is Extending Creative Minds's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Extending Creative Minds was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.