Active NPI
Heart Specialists of Texas PA
- Cardiovascular Disease Physician
- Del Rio, TX
National Provider Identifier
1417158239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- H0900
- Legal business name
- HEART SPECIALISTS OF TEXAS PA
- Practice address
- 1109 Ave K
Del Rio, TX 78840 - Phone
- (830) 775-6600
- Fax
- (830) 775-6400
- NPI assigned
- May 30, 2007
- 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
- Tuong Ba Van, MD
- Title
- President
- Phone
- (830) 775-6600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | H0900 | TX | Primary |
| Cardiovascular Disease Physician | 207RC0000X | A47882 | CA |
Addresses
Primary practice location
1109 Ave K
Del Rio, TX 78840
Mailing address
PO Box 420848
Del Rio, TX 78842
Phone (830) 775-6600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128395401 | Medicaid | TX | |
| 46KK | Other | TX | BCBS |
| N32K | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
1109 Avenue K
Del Rio, TX 78840
Phone (830) 775-6600
Practitioners & affiliated clinicians
Practitioners 1
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
- Del Rio, TX
- NPI 1578764395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1417158239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 420848",
"city": "DEL RIO",
"state": "TX",
"postal_code": "78842",
"telephone_number": "830-775-6600",
"fax_number": "830-775-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 AVE K",
"city": "DEL RIO",
"state": "TX",
"postal_code": "78840",
"telephone_number": "830-775-6600",
"fax_number": "830-775-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART SPECIALISTS OF TEXAS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "VAN",
"authorized_official_first_name": "TUONG",
"authorized_official_middle_name": "BA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "830-775-6600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "H0900",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A47882",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128395401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "46KK",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "N32K",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Del Rio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.