Provider Demographics
NPI:1083271035
Name:CARDIUM LLC
Entity Type:Organization
Organization Name:CARDIUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-246-2245
Mailing Address - Street 1:38706 SUGAR WOOD DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-2621
Mailing Address - Country:US
Mailing Address - Phone:713-331-5461
Mailing Address - Fax:877-701-0152
Practice Address - Street 1:33300 EGYPT LN STE I300
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3337
Practice Address - Country:US
Practice Address - Phone:713-331-5461
Practice Address - Fax:877-701-0152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty