Organization
EP-CARDIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY KEVIN DOYLE M.D. (PRESIDENT)
(713) 799-1610
Entity
Organization
Contact information
Practice address
6550 FANNIN ST, SUITE 1723, HOUSTON, TX 77030-2717
(713) 799-1610
(713) 799-1558
Mailing address
6550 FANNIN ST, SUITE 1723, HOUSTON, TX 77030-2717
(713) 799-1610
(713) 799-1558
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00438R
BLUE CROSS BLUE SHIELD
TX
05
—
144476201
—
TX
01
—
CH7910
MEDICARE RAILROAD
TX
Enumeration date
05/22/2006
Last updated
06/20/2008
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