Healthcare Provider Details

I. General information

NPI: 1588261002
Provider Name (Legal Business Name): CARDIAC RHYTHM CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2020
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BLOSSOM STREET STE 275
WEBSTER TX
77598-4241
US

IV. Provider business mailing address

250 BLOSSOM STREET STE 275
WEBSTER TX
77598-4241
US

V. Phone/Fax

Practice location:
  • Phone: 832-553-6126
  • Fax: 832-553-6126
Mailing address:
  • Phone: 832-553-6126
  • Fax: 832-553-6126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSE RODRIGO CUELLAR SILVA
Title or Position: PRESIDENT
Credential: MD
Phone: 325-536-1268