Provider Demographics
NPI:1093293656
Name:CYPRESS CARDIOVASCULAR INSTITUTE PLLC
Entity Type:Organization
Organization Name:CYPRESS CARDIOVASCULAR INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-228-0718
Mailing Address - Street 1:21216 NORTHWEST FWY STE 650
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4697
Mailing Address - Country:US
Mailing Address - Phone:281-955-9158
Mailing Address - Fax:
Practice Address - Street 1:21216 NORTHWEST FWY STE 650
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4697
Practice Address - Country:US
Practice Address - Phone:281-955-9158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-04
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty