Healthcare Provider Details

I. General information

NPI: 1841235132
Provider Name (Legal Business Name): HOUSTON CARDIAC SURGERY ASSOCIATES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 11/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 FROSTWOOD DR 144
HOUSTON TX
77024-2420
US

IV. Provider business mailing address

902 FROSTWOOD DR 144
HOUSTON TX
77024-2420
US

V. Phone/Fax

Practice location:
  • Phone: 713-973-7222
  • Fax: 713-464-6427
Mailing address:
  • Phone: 713-973-7222
  • Fax: 713-464-6427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MIGUEL GOMEZ
Title or Position: DIRECTOR
Credential: MD
Phone: 713-973-7222