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WILLOWBROOK CARDIOVASCULAR ASSOCIATES P.A. NPI 1194789974


NPI Information

NPI: 1194789974
Provider Name: WILLOWBROOK CARDIOVASCULAR ASSOCIATES, P.A.

Other Name: WILLOWBROOK CARDIOVASCULAR ASSOCIATES

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 45D1049868

Address:
13300 HARGRAVE RD
STE 500
HOUSTON, TX
ZIP 77070
Phone: (281) 890-4848
Get Directions

WILLOWBROOK CARDIOVASCULAR ASSOCIATES, P.A. 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. WILLOWBROOK CARDIOVASCULAR ASSOCIATES, P.A. NPI is 1194789974. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Willowbrook Cardiovascular Associates.

The provider's business location address is:

13300 HARGRAVE RD
STE 500
HOUSTON, TX
ZIP 77070-373
Phone: (281) 890-4848
Fax: (281) 890-4885

The provider's authorized official is John Charles Isaac .
The authorized official title is Chief Finacial Officer and has the following contact phone number (281) 890-4848.

The CLIA number assigned to this NPI record is 45D1049868 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 3/10/2010.


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
1207RC0001XInternal MedicineClinical Cardiac Electrophysiology207RC0001XTEXASNo
2207RI0011XInternal MedicineInterventional Cardiology207RI0011XTEXASNo
3207RC0000XInternal MedicineCardiovascular Disease207RC0000XTEXASYes

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
1151663501MEDICAIDTEXAS
200695TMEDICARE PINTEXAS

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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