Healthcare Provider Details

I. General information

NPI: 1043264039
Provider Name (Legal Business Name): EP-CARDIOLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST SUITE 1723
HOUSTON TX
77030-2717
US

IV. Provider business mailing address

6550 FANNIN ST SUITE 1723
HOUSTON TX
77030-2717
US

V. Phone/Fax

Practice location:
  • Phone: 713-799-1610
  • Fax: 713-799-1558
Mailing address:
  • Phone: 713-799-1610
  • Fax: 713-799-1558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY KEVIN DOYLE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 713-799-1610