Cardiac Cath Lab of Beaumont, LP

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CARDIAC CATH LAB OF BEAUMONT, LP

Doing business as

Beaumont Heart & Vascular Center

Practice address

755 N 11TH St Ste P3790A
Beaumont, TX 77702-1500

Phone

(409) 924-3996

Fax

(409) 924-3916

NPI assigned

Feb 7, 2011

Last updated

Oct 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shon Ray Sanders

Title

VP Ops

Phone

(254) 640-3551

Specialties & licenses 1

Addresses

Other names 1

• Beaumont Heart & Vascular Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Beaumont ASC, LP

  dba Beaumont Heart & Vascular Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beaumont, TX
  • NPI 1417409285

  Member Of

  NPD member

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Fasulo, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1366686487
  Medicare reassignment Care Compare group NPD
• Jorge A Hernandez, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1356338347
  Medicare reassignment Care Compare group NPD
• Thomas Randolph Lombardo, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1891791091
  Medicare reassignment Care Compare group NPD
• Allen David McGrew, D.O.

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1689909418
  Medicare reassignment Care Compare group NPD
• Nidal I Buheis, M.D.

  • Cardiovascular Disease Physician
  • Houston, TX
  • NPI 1861409278
  Medicare reassignment NPD
• Thomas Edward Hong, MD

  • Clinical Cardiac Electrophysiology Physician
  • Houston, TX
  • NPI 1235121294
  Medicare reassignment NPD
• Srinivasa Rao Kothapalli, M.D.

  • Cardiovascular Disease Physician
  • Port Arthur, TX
  • NPI 1528036118
  Medicare reassignment NPD

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1215233374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P3790A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST STE P3790A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-924-3996",
            "fax_number": "409-924-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CATH LAB OF BEAUMONT, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SHON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "VP OPS",
        "authorized_official_telephone_number": "254-640-3551"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Heart & Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Heart & Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi L Calvin, PHARMD
• Trent Clark Cameron, FNP
• Stephanie Campbell, PTA
• Cancer Treatment & Prevention Cente
• Corinda Cannon
• Cardiac Consultants, PA
• Cardinal Community Clinic
• Cardinal Remodeling, LLC
• Cardio Pulmonary THPC and Diagnostics Inc. (Med-Equip)
• Cardiovascular Imaging Inc

• Multi-Specialty Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.

Verify at the official NPI Registry.