Organization Active NPI

Heart Specialists of Texas PA

  • Cardiovascular Disease Physician
  • Del Rio, TX
National Provider Identifier
1417158239
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H0900 Issued in TX
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X H0900 TX Primary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
128395401MedicaidTX
46KKOtherTXBCBS
N32KOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.