Provider Demographics
NPI:1497071567
Name:COMPREHENSIVE CARDIOVASCULAR CARE OF THE WOODLANDS, P.A.
Entity Type:Organization
Organization Name:COMPREHENSIVE CARDIOVASCULAR CARE OF THE WOODLANDS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAYKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-230-5006
Mailing Address - Street 1:PO BOX 132765
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-2765
Mailing Address - Country:US
Mailing Address - Phone:936-230-5006
Mailing Address - Fax:281-817-5948
Practice Address - Street 1:3115 COLLEGE PARK DR STE 112
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384
Practice Address - Country:US
Practice Address - Phone:936-230-5006
Practice Address - Fax:281-817-5948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9571207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty