Provider Demographics
NPI:1437242617
Name:CARDIOVASCULAR CARE PROVIDERS, INC.
Entity Type:Organization
Organization Name:CARDIOVASCULAR CARE PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOBIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-797-0050
Mailing Address - Street 1:1360 POST OAK BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3312
Mailing Address - Country:US
Mailing Address - Phone:713-797-0050
Mailing Address - Fax:713-799-1170
Practice Address - Street 1:1360 POST OAK BLVD STE 900
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3312
Practice Address - Country:US
Practice Address - Phone:713-797-0050
Practice Address - Fax:713-799-1170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty