Comprehensive Cardiac Diagnostics and Wellness PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

J7735 Issued in TX

Legal business name

COMPREHENSIVE CARDIAC DIAGNOSTICS AND WELLNESS PLLC

Doing business as

Cardiac Wellness Clinic

Practice address

1930 Country Place Pkwy Ste 106
Pearland, TX 77584-2138

Phone

(281) 506-7840

Fax

(832) 672-7485

NPI assigned

Jun 7, 2013

Organization subpart

No

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

Authorized official

Name

John C. L. Yu, MDNPI 1649203571

Title

Sole Owner

Phone

(281) 506-7840

Specialties & licenses 1

Addresses

Other names 1

• Cardiac Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• John C. L. Yu, M.D.

  • Cardiovascular Disease Physician
  • Pearland, TX
  • NPI 1649203571
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1295173680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY STREET",
            "address_2": "SUITE: P-226",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "78584",
            "telephone_number": "281-886-4183",
            "fax_number": "713-436-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 COUNTRY PLACE PKWY STE 106",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842138",
            "telephone_number": "281-506-7840",
            "fax_number": "832-672-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARDIAC DIAGNOSTICS AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C. L.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "281-506-7840",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J7735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Pearland, TX
• Providers in Pearland, 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 Dec 19, 2017; 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.