Provider Demographics
NPI:1780998385
Name:CYPRESS HEART AND VASCULAR CENTER PLLC
Entity type:Organization
Organization Name:CYPRESS HEART AND VASCULAR CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FADI
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALAMEDDINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-688-8400
Mailing Address - Street 1:PO BOX 3686
Mailing Address - Street 2:DEPT 475
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3686
Mailing Address - Country:US
Mailing Address - Phone:832-688-8400
Mailing Address - Fax:832-688-8430
Practice Address - Street 1:21212 NORTHWEST FWY STE 505
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5888
Practice Address - Country:US
Practice Address - Phone:832-688-8400
Practice Address - Fax:832-688-8430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX219301303Medicaid