Southeast Texas Clinical Research and Education Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

M9990 Issued in TX

Legal business name

SOUTHEAST TEXAS CLINICAL RESEARCH AND EDUCATION INC

Practice address

5925 Almeda Rd
North Tower Suite 717
Houston, TX 77004-7602

Phone

(832) 226-7412

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Cornelius Dyke I, MDNPI 1245226083

Title

President

Phone

(832) 226-7412

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cornelius McKown Dyke, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gastonia, NC
  • NPI 1245226083
  NPD (past) Authorized official

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1093017063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 ALMEDA RD",
            "address_2": "NORTH TOWER SUITE 717",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047602",
            "telephone_number": "832-226-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 ALMEDA RD",
            "address_2": "NORTH TOWER SUITE 717",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047602",
            "telephone_number": "832-226-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS CLINICAL RESEARCH AND EDUCATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "DYKE",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-226-7412",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "M9990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast North Carolina Seven Medical Group, PLLC
• Southeast Residential Rehab LLC
• Southeast Six Medical Group, PLLC
• Southeast Spine and Rehab
• Southeast Texas Cardiovasclar PA
• Southeast Texas Family Planning and Cancer Screening
• Southeast Texas Family Planning and Cancer Screening
• Southeast Texas Foot and Ankle PA
• Southeast Texas Oncology Partners
• Southeast Urgent Care LLC

• Vascular Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.