MEDICARE: AB CARDIOLOGY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1104014315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AB CARDIOLOGY, PLLC

Provider Business Mailing Address
First Line	:	12234 SHADOW CREEK PKWY STE 6106
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7338
Country	:	US
Telephone Number	:	713-436-6653
Fax Number	:	713-436-6365

Provider Business Practice Location Address
First Line	:	6624 FANNIN ST STE 1990
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2330
Country	:	US
Telephone Number	:	713-436-6653
Fax Number	:	713-436-6365

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXANDER BUTKEVICH
Credential	:	MD
Telephone Number	:	713-436-6653

Provider Enumeration Date	:	10/12/2007
Last Update Date	:	02/28/2024

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