Individual
ANDREW B CIVITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7200 CAMBRIDGE ST FL 6, HOUSTON, TX 77030-4202
(713) 798-2545
(713) 798-2578
Mailing address
6620 MAIN ST STE 11A23.4, HOUSTON, TX 77030-2348
(713) 798-2129
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
K4661
TX
207RC0000X
Cardiovascular Disease Physician
K4661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038749003
—
TX
Enumeration date
06/01/2006
Last updated
09/14/2022
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