Organization
CARDIAC INTERVENTION SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONNA THOMAS (BILLING MANAGER)
(832) 230-5065
Entity
Organization
Contact information
Practice address
2222 GREENHOUSE RD, SUITE 600, HOUSTON, TX 77084-7252
(281) 646-9911
(281) 579-1709
Mailing address
2222 GREENHOUSE RD, SUITE 600, HOUSTON, TX 77084-7252
(832) 230-5065
(281) 579-1709
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J6497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037GW
BCBS
TX
01
—
00758R
RAILROAD MEDICARE
TX
05
—
147419901
—
TX
Enumeration date
09/19/2007
Last updated
10/18/2019
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