Active NPI
Clinic for Cardiovascular Care
- Cardiovascular Disease Physician
- Tomball, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CLINIC FOR CARDIOVASCULAR CARE
- Practice address
- 400 Holderrieth Blvd
Ste 104
Tomball, TX 77375-4543 - Phone
- (281) 251-2000
- Fax
- (281) 378-5918
- NPI assigned
- Oct 6, 2005
- 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
- Dr. Waqar A Khan, MD
- Title
- Medical Director
- Phone
- (281) 255-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Interventional Cardiology Physician | 207RI0011X | |||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
400 Holderrieth Blvd
Ste 104
Tomball, TX 77375-4543
Mailing address
400 Holderrieth Blvd
Ste 104
Tomball, TX 77375-4552
Phone (281) 255-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC4545 | Other | TX | RAILROAD MEDICARE |
Other names 1
- Lone Star Heart and Vascular Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17198 St Lukes Way
Ste 630
The Woodlands, TX 77384
Phone (936) 271-3668
506 Graham Dr
Ste 230
Tomball, TX 77375
Phone (281) 205-7522
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Tomball, TX
- NPI 1801143144
-
- Interventional Cardiology Physician
- Tomball, TX
- NPI 1255595609
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536710400000",
"number": "1386632115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HOLDERRIETH BLVD",
"address_2": "STE 104",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773754552",
"telephone_number": "281-255-2000",
"fax_number": "281-378-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOLDERRIETH BLVD",
"address_2": "STE 104",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773754543",
"telephone_number": "281-251-2000",
"fax_number": "281-378-5918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINIC FOR CARDIOVASCULAR CARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2018-09-12",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "WAQAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "281-255-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC4545",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lone Star Heart and Vascular Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lone Star Heart and Vascular Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.