MEDICARE: HALL GARCIA CARDIOLOGY ASSOC

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CS9776	OTHER	TX	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1457364119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALL GARCIA CARDIOLOGY ASSOC

Provider Business Mailing Address
First Line	:	6624 FANNIN
Second Line	:	#2480
City	:	HOUSTON
State	:	TX
Zip	:	77030-2309
Country	:	US
Telephone Number	:	713-529-5530
Fax Number	:	713-383-0051

Provider Business Practice Location Address
First Line	:	6624 FANNIN
Second Line	:	#2480
City	:	HOUSTON
State	:	TX
Zip	:	77030-2309
Country	:	US
Telephone Number	:	713-529-5530
Fax Number	:	713-383-0051

Authorized Official
Title or Position	:	CEO PRESIDENT
Name	:	MR. ALI MASSUMI
Credential	:	MD
Telephone Number	:	713-529-5530

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	10/30/2007

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Directions to “HALL GARCIA CARDIOLOGY ASSOC ” Practice Location

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