Houston Heart Clinic

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G9602 Issued in TX

Legal business name

HOUSTON HEART CLINIC

Practice address

6624 Fannin St
Ste. 1590
Houston, TX 77030-2312

Phone

(713) 759-9901

Fax

(281) 540-3333

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Imtihan M Jawdat, MD

Title

President

Phone

(713) 759-9901

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1043426075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "STE. 1590",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-759-9901",
            "fax_number": "281-540-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "STE. 1590",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-759-9901",
            "fax_number": "281-540-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON HEART CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "JAWDAT",
        "authorized_official_first_name": "IMTIHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-759-9901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G9602",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G9602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080242301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G9602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Houston Health Direct
• Houston Healthcare Clinic LLC
• Houston Healthy Choice PC
• Houston Hearing Healthcare Center,PLLC
• Houston Heart Associates, LLLP
• Houston Heart Health PLLC
• Houston Heart Institute and Clinic
• Houston Heart Rhythm Institute PLLC
• Houston Heart Rhythm PLLC
• Houston Heights Eye Care PLLC

• Cardiovascular Disease Physician in Houston, TX
• Providers in Houston, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.