Healthcare Provider Details
I. General information
NPI: 1528955770
Provider Name (Legal Business Name): PRECISION CARDIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
450 W MEDICAL CENTER BLVD STE 510
WEBSTER TX
77598-4233
US
IV. Provider business mailing address
4010 CHARLESTON ST
HOUSTON TX
77021-1412
US
V. Phone/Fax
- Phone: 832-972-7300
- Fax:
- Phone: 352-359-9760
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0001X |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
LYNN
BOONE
JR.
Title or Position: OWNER
Credential: MD
Phone: 352-359-9760