Provider Demographics
NPI:1952417305
Name:MEDICAL CENTER HEART CONSULTANTS PLLC
Entity Type:Organization
Organization Name:MEDICAL CENTER HEART CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-796-2220
Mailing Address - Street 1:6400 FANNIN #2220
Mailing Address - Street 2:MEDICAL CENTER HEART CONSULTANTS PLLC
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-5306
Mailing Address - Country:US
Mailing Address - Phone:713-796-2220
Mailing Address - Fax:713-796-9312
Practice Address - Street 1:6400 FANNIN #2220
Practice Address - Street 2:MEDICAL CENTER HEART CONSULTANTS PLLC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5306
Practice Address - Country:US
Practice Address - Phone:713-796-2220
Practice Address - Fax:713-796-9312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00064TMedicare PIN