Non-Invasive Cardiovascular PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

E2031 Issued in TX

Legal business name

NON-INVASIVE CARDIOVASCULAR PA

Practice address

138 Eldridge Rd
Ste E
Sugar Land, TX 77478-4083

Phone

(713) 234-7390

Fax

(713) 234-7336

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glover O.L. Johnson Jr., M.D.

Title

President

Phone

(713) 234-7390

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1376604785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10906 OLYMPIA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422629",
            "telephone_number": "713-234-7390",
            "fax_number": "713-234-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ELDRIDGE RD",
            "address_2": "STE E",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784083",
            "telephone_number": "713-234-7390",
            "fax_number": "713-234-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON-INVASIVE CARDIOVASCULAR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GLOVER",
        "authorized_official_middle_name": "O.L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-234-7390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E2031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA1201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01209859",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167319601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0064KB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2354224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Sugar Land, TX
• Providers in Sugar Land, 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 3, 2015; 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.