Organization
ACRES HOME HEART AND VASCULAR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY D RUGGLES CMA (ADMINISTRATOR)
(281) 445-5900
Entity
Organization
Contact information
Practice address
9999 W MONTGOMERY RD, SUITE B, HOUSTON, TX 77088-3100
(281) 445-5900
(281) 445-5903
Mailing address
PO BOX 302, HOUSTON, TX 77001-0302
(281) 445-5900
(281) 445-5903
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M0502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022NV
BCBS OF TEXAS
TX
05
—
1824286
—
TX
05
—
1824302
—
TX
Enumeration date
02/08/2007
Last updated
06/20/2018
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