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Contact Information

DEERBROOK CATH LAB LLC
18450 HWY 59 SUITE 101
HUMBLE, TX77338
 Phone: 281-446-6656
 Fax: 281-446-6657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEERBROOK CATH LAB LLC

NPI Number 1104329440
LBN Legal business name DEERBROOK CATH LAB LLC
Authorized official RICKY GANIM - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2018
Last updated 01/09/2020 - About 6 years ago
Identifiers
TX Medicaid 388654101
TX Other 663151 MEDICARE
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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