NPI age
6 years
Enumerated 2019-06-13
● Active Type 2 · Organization
Subpart
Crenshaw Occupational Practice, Pllc
Crenshaw Occupational Practice, Pllc is 1 of 251 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pattanaik
Medical Director
Last NPPES update
2019-06-13
Source: monthly bulk 2026-05
How this organization compares
Across 251 active clinic/center providers in Texas.
NPI age
6 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-06Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
5030 Crenshaw Rd Ste 124
Pasadena, TX 775053141
Mailing address
5030 Crenshaw Rd Ste 124
Pasadena, TX 775053141
Authorized official
Deepak Pattanaik, MD
Medical Director
📞 2814870807
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 043003501 | |
| 05 (TX) | 114731602 | |
| 05 (TX) | 181889001 |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Pcp Associates Of Pasadena PA.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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