Organization
ADVANCED CARDIOVASCULAR CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE T VARUGHESE MD (PRESIDENT/OWNER)
(281) 866-7701
Entity
Organization
Contact information
Practice address
25510 INTERSTATE 45 N STE 200, SPRING, TX 77386-1376
(281) 866-7701
Mailing address
1125 CYPRESS STATION DR STE H-1, HOUSTON, TX 77090-3054
(281) 866-7701
(281) 866-7705
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J8408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100168701
—
TX
05
—
167241201
—
TX
01
—
83760Y
BLUE CROSS BLUE SHEILD TX
—
Enumeration date
08/27/2007
Last updated
04/18/2024
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