Provider Demographics
NPI:1659518140
Name:GULF COAST HEART CLINIC PLLC
Entity Type:Organization
Organization Name:GULF COAST HEART CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MING HE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-534-9993
Mailing Address - Street 1:1525 SAN MATEO CT
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6341
Mailing Address - Country:US
Mailing Address - Phone:281-534-9993
Mailing Address - Fax:281-534-9993
Practice Address - Street 1:4546 HIGHWAY 6
Practice Address - Street 2:SUITE J
Practice Address - City:SUGAR LANE
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-534-9993
Practice Address - Fax:281-534-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0758207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH85608Medicare PIN