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HOUSTON HEART CLINIC NPI 1043426075


NPI Information

NPI: 1043426075
Provider Name: HOUSTON HEART CLINIC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 45D0660081

Address:
6624 FANNIN ST
STE. 1590
HOUSTON, TX
ZIP 77030
Phone: (713) 759-9901
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HOUSTON HEART CLINIC is a cardiovascular disease internal medicine in Houston, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. HOUSTON HEART CLINIC NPI is 1043426075. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6624 FANNIN ST
STE. 1590
HOUSTON, TX
ZIP 77030-312
Phone: (713) 759-9901
Fax: (281) 540-3333

The provider's authorized official is Imtihan M Jawdat .
The authorized official title is President and has the following contact phone number (713) 759-9901.

The CLIA number assigned to this NPI record is 45D0660081 - public health laboratories with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 5/22/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG9602TEXASNo
2207RC0000XInternal MedicineCardiovascular DiseaseG9602TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B23739MEDICARE UPINTEXAS
20025AZMEDICARE ID-TYPE UNSPECIFIEDTEXAS
3080242301MEDICAIDTEXAS
4G9602OTHERTEXASSTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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