Active NPI
Redoak Cardiovascular Center, PA
- Interventional Cardiology Physician
- Houston, TX
National Provider Identifier
1114943586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127354201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Interventional Cardiology Physician
- Spring, TX
- NPI 1720008451
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.