ADVANCED CARDIOVASCULAR CARE CENTER; NPI #1639362213

Contact Information

ADVANCED CARDIOVASCULAR CARE CENTER

25510 INTERSTATE 45 N STE 200
SPRING, TX 77386-1376

Phone: 281-866-7701
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for ADVANCED CARDIOVASCULAR CARE CENTER

NPI # 1639362213

LBN Legal business name ADVANCED CARDIOVASCULAR CARE CENTER

Authorized official ANNIE VARUGHESE - (PRESIDENT/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/27/2007

Last updated 04/18/2024 - About 2 years ago

Identifiers

TX	License #	J8408
TX	Medicaid	100168701
TX	Medicaid	167241201
	Other	83760Y	BLUE CROSS BLUE SHEILD TX

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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