Organization Active NPI

Redoak Cardiovascular Center, PA

  • Interventional Cardiology Physician
  • Houston, TX
National Provider Identifier
1114943586
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
REDOAK CARDIOVASCULAR CENTER, PA
Practice address
17400 Red Oak Dr
Houston, TX 77090-1246
Phone
(281) 893-8640
Fax
(281) 893-5976
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Gustavo A Grieco, M.D.
Title
President
Phone
(713) 534-7122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

17400 Red Oak Dr
Houston, TX 77090-1246

Mailing address

17400 Red Oak Dr
Houston, TX 77090-1246
Phone (281) 893-8640

Other identifiers 1

IdentifierTypeStateIssuer
127354201MedicaidTX

National Provider Directory

National Provider Directory

Locations

17200 Red Oak Dr
#107
Houston, TX 77090
Phone (281) 893-8640

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1114943586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17400 RED OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901246",
            "telephone_number": "281-893-8640",
            "fax_number": "281-893-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 RED OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901246",
            "telephone_number": "281-893-8640",
            "fax_number": "281-893-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDOAK CARDIOVASCULAR CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "GRIECO",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-534-7122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127354201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.