Organization
EMILIO B HISSE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO B HISSE M.D. (OWNER)
(713) 667-3885
Entity
Organization
Contact information
Practice address
5555 WEST LOOP S, SUITE 435, BELLAIRE, TX 77401-2100
(713) 667-3885
(713) 667-3845
Mailing address
5143 BEECHNUT ST, HOUSTON, TX 77096-1422
(713) 667-3885
(713) 667-3845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
J7005
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J7005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080931101
—
TX
05
—
139574101
—
TX
Enumeration date
01/12/2007
Last updated
02/17/2009
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