Organization
INTERVENTIONAL CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT LICHT (PRACTICE MGR)
(281) 829-3860
Entity
Organization
Contact information
Practice address
19255 PARK ROW STE 204, HOUSTON, TX 77084-7310
(281) 829-3860
(281) 829-3861
Mailing address
19255 PARK ROW STE 204, HOUSTON, TX 77084-7310
(281) 829-3860
(281) 829-3861
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035NZ
BCBS
TX
05
—
184963001
—
TX
01
—
DF8541
MEDICARE B RR
TX
Enumeration date
09/01/2006
Last updated
03/17/2018
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