Provider Demographics
NPI:1457573594
Name:ANGIOCARDIAC CARE OF TEXAS P.A.
Entity Type:Organization
Organization Name:ANGIOCARDIAC CARE OF TEXAS P.A.
Other - Org Name:MAIN MEDICAL GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-797-6000
Mailing Address - Street 1:10021 S MAIN ST STE B-1
Mailing Address - Street 2:MAIN MEDICAL PLAZA
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5209
Mailing Address - Country:US
Mailing Address - Phone:713-797-6000
Mailing Address - Fax:713-797-9090
Practice Address - Street 1:10021 S MAIN ST STE B-1
Practice Address - Street 2:MAIN MEDICAL PLAZA
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5209
Practice Address - Country:US
Practice Address - Phone:713-797-6000
Practice Address - Fax:713-797-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00565NMedicare ID - Type Unspecified