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General NPI Number Information
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NPI Number | 1376694976
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Entity Type | Organization
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Legal Business Name | EMILIO B HISSE, MD, PA
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 5555 WEST LOOP S SUITE 435
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City | BELLAIRE
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State | TX
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Zip | 77401-2100
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Country | US
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Telephone | 713-667-3885
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Fax | 713-667-3845
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Provider Business Mailing Address
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Address Line | 5143 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77096-1422
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Country | US
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Telephone | 713-667-3885
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Fax | 713-667-3845
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Authorized Official
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Title or Position | OWNER
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Name | EMILIO B HISSE
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Credential | M.D.
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Telephone | 713-667-3885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | J7005
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | J7005
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License Number State | TX
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