Provider Demographics
NPI:1225160823
Name:HEART CARE CENTER OF NORTHWEST HOUSTON, PA
Entity Type:Organization
Organization Name:HEART CARE CENTER OF NORTHWEST HOUSTON, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUKARRAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-955-7863
Mailing Address - Street 1:13325 HARGRAVE RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4541
Mailing Address - Country:US
Mailing Address - Phone:281-955-7863
Mailing Address - Fax:281-477-8832
Practice Address - Street 1:13325 HARGRAVE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4541
Practice Address - Country:US
Practice Address - Phone:281-955-7863
Practice Address - Fax:281-477-8832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4362174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080058301Medicaid
TXCH6365OtherRAIL ROAD MEDICARE
TX00000096EVOtherBC BS OF TX GROUP NUMBER
TX2500597OtherUNITED HEALTHCARE
TX2500597OtherUNITED HEALTHCARE