Provider Demographics
NPI:1629059019
Name:ASSOCIATES IN HEART DISEASE
Entity Type:Organization
Organization Name:ASSOCIATES IN HEART DISEASE
Other - Org Name:THE HEART CLINIC OF CORPUS CHRISTI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-883-3962
Mailing Address - Street 1:1202 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2314
Mailing Address - Country:US
Mailing Address - Phone:361-883-3962
Mailing Address - Fax:361-883-6563
Practice Address - Street 1:1202 THIRD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2314
Practice Address - Country:US
Practice Address - Phone:361-883-3962
Practice Address - Fax:361-883-6563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-11
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX094051201Medicaid
TX661699OtherUNITED HEALTHCARE
TX094051201Medicaid