Provider Demographics
NPI:1326523077
Name:SOUTHEAST TEXAS CARDIAC LLC
Entity Type:Organization
Organization Name:SOUTHEAST TEXAS CARDIAC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:DEVINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-812-8800
Mailing Address - Street 1:8901 FM 1960 BYPASS RD W STE 303
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4019
Mailing Address - Country:US
Mailing Address - Phone:281-812-8800
Mailing Address - Fax:281-852-0600
Practice Address - Street 1:8901 FM 1960 BYPASS RD W STE 303
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4019
Practice Address - Country:US
Practice Address - Phone:281-812-8800
Practice Address - Fax:281-852-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty