Active NPI
Cardiovascular Clinic of Texas
- Specialist
- Houston, TX
National Provider Identifier
1225288673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F2730
- Legal business name
- CARDIOVASCULAR CLINIC OF TEXAS
- Practice address
- 8520 Knight Rd
Houston, TX 77054-3808 - Phone
- (713) 790-1335
- Fax
- (713) 790-1044
- NPI assigned
- Sep 23, 2008
- 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
- Matteethra Chandy Jacob, M.D.
- Title
- President
- Phone
- (713) 790-1335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F2730 | TX | Primary |
Addresses
Primary practice location
8520 Knight Rd
Houston, TX 77054-3808
Mailing address
4006 Inverness Dr
Houston, TX 77019-1006
Phone (713) 790-1335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5990 Airline Dr
Ste 260
Houston, TX 77076
Phone (713) 691-7355
8520 Knight Rd
Houston, TX 77054
Phone (713) 790-1335
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHFECD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1417020744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237766400000",
"number": "1225288673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4006 INVERNESS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770191006",
"telephone_number": "713-790-1335",
"fax_number": "713-790-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8520 KNIGHT RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770543808",
"telephone_number": "713-790-1335",
"fax_number": "713-790-1044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR CLINIC OF TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2009-03-23",
"status": "A",
"authorized_official_last_name": "JACOB",
"authorized_official_first_name": "MATTEETHRA",
"authorized_official_middle_name": "CHANDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-790-1335",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "F2730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Cardiotech Diagnostic Imaging
- Cardiothoracic and Vascular Surgery, PLLC
- Cardiovascular Associates of Greater Houston PA
- Cardiovascular Care Providers, Inc.
- Cardiovascular Center of Houston, P.a.
- Cardiovascular CT Imaging of Houston LP
- Cardiovascular Diagnostics PA
- Cardiovascular Health Center of Texas LLC
- Cardiovascular Medicine Assoc., P.a.
- Cardiovascular Specialists of North Houston PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.