Provider Demographics
NPI:1427230341
Name:DIAGNOSTIC CARDIOLOGY OF HOUSTON, P. A.
Entity Type:Organization
Organization Name:DIAGNOSTIC CARDIOLOGY OF HOUSTON, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-776-9500
Mailing Address - Street 1:7777 SOUTHWEST FWY
Mailing Address - Street 2:#420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1802
Mailing Address - Country:US
Mailing Address - Phone:713-776-9500
Mailing Address - Fax:713-776-3087
Practice Address - Street 1:4660 SWEETWATER BLVD
Practice Address - Street 2:#270
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3166
Practice Address - Country:US
Practice Address - Phone:713-776-9500
Practice Address - Fax:713-776-3087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1558329094OtherMEDICARE RAILROAD
TX00W244Medicare PIN