1023204567 NPI number — CARDIAC INTERVENTION SPECIALISTS, P.A.

Table of content: (NPI 1023204567)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023204567 NPI number — CARDIAC INTERVENTION SPECIALISTS, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARDIAC INTERVENTION SPECIALISTS, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023204567
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2222 GREENHOUSE RD
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77084-7252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-230-5065
Provider Business Mailing Address Fax Number:
281-579-1709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2222 GREENHOUSE RD
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77084-7252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-646-9911
Provider Business Practice Location Address Fax Number:
281-579-1709
Provider Enumeration Date:
09/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
LADONNA
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
832-230-5065

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  J6497 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0037GW . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 00758R . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 147419901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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