Provider Demographics
NPI:1437162609
Name:CARDIOLOGY OF HOUSTON
Entity Type:Organization
Organization Name:CARDIOLOGY OF HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:MARTINEZ
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PBT, CMA, CCS-P
Authorized Official - Phone:713-988-9512
Mailing Address - Street 1:7737 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 780
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1807
Mailing Address - Country:US
Mailing Address - Phone:713-988-9512
Mailing Address - Fax:713-988-9515
Practice Address - Street 1:7737 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 780
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1807
Practice Address - Country:US
Practice Address - Phone:713-988-9512
Practice Address - Fax:713-988-9515
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDIOLOGY OF HOUSTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-15
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCS2451OtherRAILROAD MEDICARE
TX082754501Medicaid
TX082754501Medicaid