Organization
DEERBROOK CATH LAB LLC
Active
Other names
Vital Heart and Vein Cath Lab
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY PAUL GANIM MD (CO-OWNER)
(281) 446-6656
Entity
Organization
Contact information
Practice address
18450 HWY 59 SUITE 101, HUMBLE, TX 77338
(281) 446-6656
(281) 446-6657
Mailing address
18450 HWY 59 SUITE 101, HUMBLE, TX 77338
(281) 446-6656
(281) 446-6657
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388654101
—
TX
01
—
663151
MEDICARE
TX
Enumeration date
03/13/2018
Last updated
01/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us