Internal Medicine Cardiovascular Services, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

L4196 Issued in TX

Legal business name

INTERNAL MEDICINE CARDIOVASCULAR SERVICES, LLC

Practice address

1933 FM 115
Suite B
Mount Vernon, TX 75457

Phone

(903) 588-2033

Fax

(903) 588-2036

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By 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

Isaac J.T. Osborne, M.D

Title

M.D

Phone

(903) 588-2033

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326260803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 FM 115",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "75457",
            "telephone_number": "903-588-2033",
            "fax_number": "903-588-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 FM 115",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "75457",
            "telephone_number": "903-588-2033",
            "fax_number": "903-588-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CARDIOVASCULAR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "J.T.",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "903-588-2033",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L4196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G1990",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J Hamilton, MD
• Emma Lea Hightower
• Natalie A Holley, DC
• Don R. Huffstetler
• Chris Hughes, PHARMD
• Jean Woel Latortue (Franklin County Community Care)
• Jean Woel Latortue (Franklin County Rural Health Clinic)
• JHC Operations, LLC (Elara Caring)
• JHC Operations, LLC (Elara Caring)
• JHC Operations, LLC (Elara Caring)

• Specialist in Mount Vernon, TX
• Providers in Mount Vernon, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.