Andrew B Civitello MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

K4661 Issued in TX

Legal business name

ANDREW B CIVITELLO MD PA

Practice address

1200 Binz St
Suite 1290
Houston, TX 77004-6900

Phone

(713) 526-8900

Fax

(713) 526-8901

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Alice Cathy Civitello, PA-C

Title

Administrator

Phone

(713) 526-8900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1245410018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST",
            "address_2": "SUITE 1290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046900",
            "telephone_number": "713-526-8900",
            "fax_number": "713-526-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST",
            "address_2": "SUITE 1290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046900",
            "telephone_number": "713-526-8900",
            "fax_number": "713-526-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW B CIVITELLO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "CIVITELLO",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "CATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-526-8900",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K4661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191438401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andres Garcia
• Andres Garcia Jr
• Andres H Keichian, MD, PA
• Andres Mesa MD PA
• Donald W Andress
• Andrew Bingman Therapy PLLC
• Andrew Brams, PH.D., PLLC
• Andrew Huynh Tran DDS PA
• Andrew J Schneider, DPM
• Andrew M. Quinn III, MD PLLC

• Cardiovascular Disease Physician in Houston, TX
• Providers in Houston, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.