Organization
NORTHWEST CARDIOVASCULAR CLINIC, PA
Active
Organization
NORTHWEST CARDIOVASCULAR CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAIL TAHERALI DAIRYWALA (CEO)
(281) 807-5253
Entity
Organization
Contact information
Practice address
18220 TOMBALL PKWY STE 230, HOUSTON, TX 77070-4350
(281) 807-5252
(281) 477-7452
Mailing address
16407 LAKEWOOD FIELD DR, LAKEWOOD FIELD DRIVE, TOMBALL, TX 77377-8789
(832) 473-8854
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L0114
TX
Other
Enumeration date
03/10/2011
Last updated
09/26/2025
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