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Contact Information

CLEVELAND DIAGNOSTIC CENTER PA
307 EAST CROCKETT
CLEVELAND, TX77327
 Phone: 281-592-0557
 Fax: 281-592-1761
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CLEVELAND DIAGNOSTIC CENTER PA

NPI # 1134319403
LBN Legal business name CLEVELAND DIAGNOSTIC CENTER PA
Authorized official MYUNG JIN KIM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2007
Last updated 08/01/2007 - About 19 years ago
Identifiers
TX License # F5978
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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