Organization
HOUSTON CARDIOVASCULAR ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY ROUSE JR. CFO (CFO)
(901) 219-8656
Entity
Organization
Contact information
Practice address
5115 FANNIN ST STE 801, HOUSTON, TX 77004-5870
(713) 790-0841
(713) 790-9663
Mailing address
5115 FANNIN ST STE 801, HOUSTON, TX 77004-5870
(713) 790-1876
(713) 790-9663
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
TX
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085508201
—
TX
05
—
085532202
—
TX
Enumeration date
09/29/2006
Last updated
03/31/2025
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