Provider Demographics
NPI:1093998437
Name:WALTER H POLLO MD PA
Entity Type:Organization
Organization Name:WALTER H POLLO MD PA
Other - Org Name:CARDIOLOGY ASSOCIATION HNWMC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MD
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:H
Authorized Official - Last Name:POLLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-444-1742
Mailing Address - Street 1:800 PEAKWOOD
Mailing Address - Street 2:SUITE 7D
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2904
Mailing Address - Country:US
Mailing Address - Phone:281-444-4986
Mailing Address - Fax:281-444-4987
Practice Address - Street 1:800 PEAKWOOD
Practice Address - Street 2:SUITE 7D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2904
Practice Address - Country:US
Practice Address - Phone:281-444-4986
Practice Address - Fax:281-444-4987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2322207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112855502Medicaid
TX112855502Medicaid