Active NPI
Interventional Cardiology
- Cardiovascular Disease Physician
- Houston, TX
National Provider Identifier
1013019157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- INTERVENTIONAL CARDIOLOGY
- Practice address
- 19255 Park Row Ste 204
Houston, TX 77084-7310 - Phone
- (281) 829-3860
- Fax
- (281) 829-3861
- NPI assigned
- Sep 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pat Licht
- Title
- Practice MGR
- Phone
- (281) 829-3860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
19255 Park Row Ste 204
Houston, TX 77084-7310
Mailing address
19255 Park Row Ste 204
Houston, TX 77084-7310
Phone (281) 829-3860
Other practice location 1
707 S Fry Rd
Suite 380
Katy, TX 77450-2256
Phone (281) 829-3860
Other practice location 2
707 S Fry Rd
Suite 380
Katy, TX 77450-2256
Phone (281) 829-3860
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF8541 | Other | TX | MEDICARE B RR |
| 0035NZ | Other | TX | BCBS |
| 184963001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
707 S Fry Rd
Ste 380
Katy, TX 77450
Phone (281) 829-3860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1801900352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1013019157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19255 PARK ROW STE 204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770847310",
"telephone_number": "281-829-3860",
"fax_number": "281-829-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19255 PARK ROW STE 204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770847310",
"telephone_number": "281-829-3860",
"fax_number": "281-829-3861"
}
],
"practiceLocations": [
{
"address_1": "707 S Fry Rd",
"address_2": "Suite 380",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774502256",
"country_code": "US",
"telephone_number": "281-829-3860",
"fax_number": "281-829-3861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 S Fry Rd",
"address_2": "Suite 380",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774502256",
"country_code": "US",
"telephone_number": "281-829-3860",
"fax_number": "281-829-3861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTERVENTIONAL CARDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "LICHT",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "PRACTICE MGR",
"authorized_official_telephone_number": "281-829-3860"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B RR",
"identifier": "DF8541",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0035NZ",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184963001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Internist Associates, P.
- Interoffice Diagnostic Solutions of Texas LLC
- Interstate Clinic
- Interstellar Massage LLC
- Intervention Resources, Inc
- Interventional Cardiology Associates
- Interventional Pain & Treatment Center
- Interventional Pain and Recovery Center, PLLC
- Interventional Pain and Wellness
- Interventional Pain Management
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.