Provider Demographics
NPI:1023395183
Name:NORTH HOUSTON CARDIOLOGY PLLC
Entity Type:Organization
Organization Name:NORTH HOUSTON CARDIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:AMELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-919-1888
Mailing Address - Street 1:17115 RED OAK DRIVE
Mailing Address - Street 2:SUITE 121
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2641
Mailing Address - Country:US
Mailing Address - Phone:281-919-1888
Mailing Address - Fax:281-919-1274
Practice Address - Street 1:17115 RED OAK DR
Practice Address - Street 2:SUITE 121
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2641
Practice Address - Country:US
Practice Address - Phone:281-919-1888
Practice Address - Fax:281-919-1274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB140696OtherMEDICARE PTAN