Provider Demographics
NPI:1275759243
Name:NORTH HOUSTON HEART AND VASCULAR ASSOCIATES, PA
Entity Type:Organization
Organization Name:NORTH HOUSTON HEART AND VASCULAR ASSOCIATES, PA
Other - Org Name:HOUSTON HEART AND VASCULAR ASSOCIATES, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:W
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-312-0242
Mailing Address - Street 1:24040 N. US HWY 59
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339
Mailing Address - Country:US
Mailing Address - Phone:281-312-0242
Mailing Address - Fax:281-312-0243
Practice Address - Street 1:24040 N. US HWY 59
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-312-0242
Practice Address - Fax:281-312-0243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00Y200Medicare PIN