Organization
HOUSTON HEART CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMTIHAN M JAWDAT MD (PRESIDENT)
(713) 759-9901
Entity
Organization
Contact information
Practice address
6624 FANNIN ST, STE. 1590, HOUSTON, TX 77030-2312
(713) 759-9901
(281) 540-3333
Mailing address
6624 FANNIN ST, STE. 1590, HOUSTON, TX 77030-2312
(713) 759-9901
(281) 540-3333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G9602
TX
207RC0000X
Cardiovascular Disease Physician
Primary
G9602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080242301
—
TX
01
—
G9602
STATE LICENSE
TX
Enumeration date
05/15/2007
Last updated
05/22/2012
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