ACRES HOME HEART AND VASCULAR INSTITUTE NPI 1548301252

NPI Information

NPI: 1548301252
Provider Name: ACRES HOME HEART AND VASCULAR INSTITUTE
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 45D0493939

Address:
9999 W MONTGOMERY RD
SUITE B
HOUSTON, TX
ZIP 77088
Phone: (281) 445-5900
Get Directions

ACRES HOME HEART AND VASCULAR INSTITUTE 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. ACRES HOME HEART AND VASCULAR INSTITUTE NPI is 1548301252. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9999 W MONTGOMERY RD
SUITE B
HOUSTON, TX
ZIP 77088-100
Phone: (281) 445-5900
Fax: (281) 445-5903

The provider's authorized official is Stacey D Ruggles .
The authorized official title is Administrator and has the following contact phone number (281) 445-5900.

The CLIA number assigned to this NPI record is 45D0493939 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 6/20/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	M0502	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1824302	MEDICAID	TEXAS
2	1824286	MEDICAID	TEXAS
3	0022NV	OTHER	TEXAS	BCBS OF TEXAS
4	=========	OTHER	TEXAS	TAX ID

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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