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NPI Code Detail

MEDICARE: COMPLETE CARDIAC CARE

MEDICARE: COMPLETE CARDIAC CARE
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
1261Q00000XClinic/Center
2207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1437478336
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE CARDIAC CARE
Provider Business Mailing Address
First Line : 3230 S DAIRY ASHFORD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2319
Country : US
Telephone Number : 281-558-1338
Fax Number : 281-558-1318
Provider Business Practice Location Address
First Line : 3230 S DAIRY ASHFORD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2319
Country : US
Telephone Number : 281-558-1338
Fax Number : 281-558-1318
Authorized Official
Title or Position : PRESIDENT
Name : DR. AHMED U JAMALUDDIN
Credential : M.D.
Telephone Number : 281-558-1338
Provider Enumeration Date : 05/18/2010
Last Update Date : 05/18/2010

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Directions to “COMPLETE CARDIAC CARE ” Practice Location

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