MEDICARE: CARDIOVASCULAR CENTER OF HOUSTON, P.A.

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	174400000X	Specialist	J2236	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	060070546	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0045HG	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1619094620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR CENTER OF HOUSTON, P.A.

Provider Business Mailing Address
First Line	:	7500 BEECHNUT ST STE 291
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-4336
Country	:	US
Telephone Number	:	713-272-9022
Fax Number	:	713-272-8707

Provider Business Practice Location Address
First Line	:	7500 BEECHNUT ST STE 291
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-4336
Country	:	US
Telephone Number	:	713-272-9022
Fax Number	:	713-272-8707

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THIEU NGUYEN
Credential	:	M.D.
Telephone Number	:	713-272-9022

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	08/22/2020

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Directions to “CARDIOVASCULAR CENTER OF HOUSTON, P.A. ” Practice Location

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