Organization
CARDIOVASCULAR ASSOCIATION, P.L.L.C
Active
Other names
Vital Heart and Vein
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL LEOS (CREDENTIALING MANAGER)
(281) 572-0224
Entity
Organization
Contact information
Practice address
18450 HIGHWAY 59 N, HUMBLE, TX 77338-4404
(281) 446-6656
(281) 446-6657
Mailing address
18450 HIGHWAY 59 N, HUMBLE, TX 77338
(281) 446-6656
(281) 446-6657
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007CV
BCBS
TX
05
—
1750476230
—
TX
01
—
CN9534
RAILROAD MEDICARE-PALMETT
TX
Enumeration date
10/03/2006
Last updated
04/02/2024
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