MEDICARE: HOUSTON HEART RHYTHM PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1043711773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON HEART RHYTHM PLLC

Provider Business Mailing Address
First Line	:	13325 HARGRAVE RD STE. 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4552
Country	:	US
Telephone Number	:	832-478-5067
Fax Number	:	832-699-8388

Provider Business Practice Location Address
First Line	:	13325 HARGRAVE RD STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4552
Country	:	US
Telephone Number	:	832-478-5067
Fax Number	:	832-699-8388

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	SHANTI BANSAL
Credential	:	MD
Telephone Number	:	832-478-5067

Provider Enumeration Date	:	02/27/2018
Last Update Date	:	07/27/2024

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