Active NPI
Craig Cardiovascular Center, PA
- Specialist
- Gonzales, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H1058
- Legal business name
- CRAIG CARDIOVASCULAR CENTER, PA
- Practice address
- 1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311 - Phone
- (830) 672-3845
- Fax
- (830) 672-4746
- NPI assigned
- Jun 14, 2012
- Last updated
- Mar 2, 2026
- 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
- Jeanie Rodriguez
- Title
- Practice Administrator
- Phone
- (210) 396-7056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H1058 | TX | Primary |
Addresses
Primary practice location
1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Mailing address
PO Box 2507
San Antonio, TX 78299-2507
Phone (830) 672-3845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2048903 | Craig Cardiovascular Center PA | Certificate of waiver | Oct 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
12501 Judson Rd
Ste 202
Live Oak, TX 78233
Phone (210) 599-4086
250 E Basse Rd
Ste 207
San Antonio, TX 78209
Phone (210) 614-9955
1348 E Walnut St
Seguin, TX 78155
Phone (512) 551-3490
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.347892
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1629238092
-
- Cardiovascular Disease Physician
- Gonzales, TX
- NPI 1134115397
-
- Interventional Cardiology Physician
- Seguin, TX
- NPI 1487040341
-
- Physician Assistant
- Gonzales, TX
- NPI 1609042381
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1891765624
-
- Medical-Surgical Clinical Nurse Specialist
- San Antonio, TX
- NPI 1750086583
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1295787653
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1255398699
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1659371946
-
- Nurse Practitioner
- Costa Mesa, CA
- NPI 1538171483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772409600000",
"number": "1316209380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2507",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782992507",
"telephone_number": "830-672-3845",
"fax_number": "830-672-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N SARAH DEWITT DR",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293311",
"telephone_number": "830-672-3845",
"fax_number": "830-672-4746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG CARDIOVASCULAR CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-14",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "JEANIE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "210-396-7056"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "H1058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, TX
- William Frnak Cole, M.D.
- Community Health Centers of South Central Texas, Inc.
- Community Health Centers of South Central Texas, Inc. (Women's Health and WIC Center)
- Christina M Cordova, LVN
- Country Clinic PLLC
- William E Craig, MD
- Todd Michael Crawford, PHYSICIAN ASST - C
- Guadalupe Delarosa, LVN
- Educare Community Living Limited Partnership
- Jill Ashley Elliott, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.