Provider Demographics
NPI:1457364119
Name:HALL GARCIA CARDIOLOGY ASSOC
Entity Type:Organization
Organization Name:HALL GARCIA CARDIOLOGY ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSUMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-529-5530
Mailing Address - Street 1:6624 FANNIN
Mailing Address - Street 2:#2480
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2309
Mailing Address - Country:US
Mailing Address - Phone:713-529-5530
Mailing Address - Fax:713-383-0051
Practice Address - Street 1:6624 FANNIN
Practice Address - Street 2:#2480
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2309
Practice Address - Country:US
Practice Address - Phone:713-529-5530
Practice Address - Fax:713-383-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCS9776OtherMEDICARE RAILROAD
TX00JH81Medicare PIN