Provider Demographics
NPI:1841235132
Name:HOUSTON CARDIAC SURGERY ASSOCIATES LLP
Entity Type:Organization
Organization Name:HOUSTON CARDIAC SURGERY ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-973-7222
Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:144
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2420
Mailing Address - Country:US
Mailing Address - Phone:713-973-7222
Mailing Address - Fax:713-464-6427
Practice Address - Street 1:902 FROSTWOOD DR
Practice Address - Street 2:144
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2420
Practice Address - Country:US
Practice Address - Phone:713-973-7222
Practice Address - Fax:713-464-6427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00409KMedicare PIN