Organization
HOUSTON CARDIAC ASSOCIATION, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAXTER DELWORTH MONTGOMERY M.D. (PHYSICIAN/EXECUTIVE DIRECTOR)
(713) 599-1144
Entity
Organization
Contact information
Practice address
10480 MAIN ST, HOUSTON, TX 77025-5500
(713) 599-1144
(713) 599-1199
Mailing address
10480 MAIN ST, HOUSTON, TX 77025-5500
(713) 599-1144
(713) 599-1199
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H9549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081027701
—
TX
01
—
10018324
AMERIGROUP
TX
05
—
132190301
—
TX
01
—
5034595
AETNA
TX
01
—
85680F
BCBS OF TEXAS
TX
Enumeration date
05/08/2007
Last updated
03/16/2012
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