MEDICARE: GULF COAST HEART CLINIC 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	M0758	TX

General Provider Information

NPI Number	:	1659518140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULF COAST HEART CLINIC PLLC

Provider Business Mailing Address
First Line	:	9600 BELLAIRE BLVD STE 202
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4533
Country	:	US
Telephone Number	:	713-771-6969
Fax Number	:	713-270-6969

Provider Business Practice Location Address
First Line	:	9600 BELLAIRE BLVD STE 202
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4533
Country	:	US
Telephone Number	:	713-771-6969
Fax Number	:	713-270-6969

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MING HE HUANG
Credential	:	M.D.
Telephone Number	:	713-771-6969

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	07/18/2024

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