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General NPI Number Information
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NPI Number | 1831993369
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Entity Type | Organization
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Legal Business Name | HOUSTON CARDIOVASCULAR ASSOC PA
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 5115 FANNIN ST STE 801
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City | HOUSTON
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State | TX
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Zip | 77004-5870
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Country | US
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Telephone | 713-790-0841
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 FANNIN ST STE 801
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City | HOUSTON
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State | TX
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Zip | 77004-5870
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Country | US
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Telephone | 713-790-0841
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BOBBY ROUSE JR.
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Credential | CFO
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Telephone | 901-219-8656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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License Number |
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License Number State |
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