Organization Active NPI

Medical Center Cath Lab, LLP

  • Cardiovascular Invasive Specialist/Technologist
  • Houston, TX
National Provider Identifier
1366587289
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Invasive Specialist/TechnologistTaxonomy code 246XC2901X
Legal business name
MEDICAL CENTER CATH LAB, LLP
Practice address
6550 Fannin
Suite 333
Houston, TX 77030-2718
Phone
(713) 558-9508
Fax
(713) 790-1350
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
David S Samuels, M.D.
Title
Medical Director
Phone
(713) 790-0841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Invasive Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246XC2901X Primary

Addresses

Primary practice location

6550 Fannin
Suite 333
Houston, TX 77030-2718

Mailing address

6400 Fannin
Suite 3000
Houston, TX 77030-1527
Phone (713) 790-0841

Other identifiers 3

IdentifierTypeStateIssuer
00328KOtherTXBCBS
CI4171OtherTXRAILROAD MEDICARE
115263901MedicaidTX

National Provider Directory

National Provider Directory

Locations

6550 Fannin St
Ste 333
Houston, TX 77030
Phone (713) 558-9508

6560 Fannin St
Ste 333
Houston, TX 77030
Phone (713) 790-5721

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1366587289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN",
            "address_2": "SUITE 3000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301527",
            "telephone_number": "713-790-0841",
            "fax_number": "713-790-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN",
            "address_2": "SUITE 333",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302718",
            "telephone_number": "713-558-9508",
            "fax_number": "713-790-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER CATH LAB, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-790-0841",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246XC2901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Cardiovascular Invasive Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00328K",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI4171",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115263901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.