Provider Demographics
NPI:1740598580
Name:INTEGRAL CARDIOVASCULAR CENTER PLLC
Entity Type:Organization
Organization Name:INTEGRAL CARDIOVASCULAR CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:RAO
Authorized Official - Last Name:JULAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-972-2079
Mailing Address - Street 1:2950 FM 2920 ROAD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388
Mailing Address - Country:US
Mailing Address - Phone:281-972-2079
Mailing Address - Fax:281-972-2074
Practice Address - Street 1:2950 FM 2920 ROAD
Practice Address - Street 2:SUITE 180
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388
Practice Address - Country:US
Practice Address - Phone:281-972-2079
Practice Address - Fax:281-972-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB118911Medicare PIN
TXTXB118909Medicare PIN