Organization Active NPI

Heart and Vascular of Central Texas PA

  • Cardiovascular Disease Physician
  • Round Rock, TX
National Provider Identifier
1437213105
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K2357 Issued in TX
Legal business name
HEART AND VASCULAR OF CENTRAL TEXAS PA
Practice address
16010 Park Valley Dr
Suite 200
Round Rock, TX 78681-3574
Phone
(512) 206-2999
NPI assigned
Dec 20, 2006
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Henry LucidNPI 1265424469
Title
MD
Phone
(512) 206-2999

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K2357 TX Primary

Addresses

Primary practice location

16010 Park Valley Dr
Suite 200
Round Rock, TX 78681-3574

Mailing address

16010 Park Valley Dr
Suite 200
Round Rock, TX 78681-3574
Phone (512) 206-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000671 TX Part B Supplier - Clinic/Group Practice 7810094943 Receives reassigned benefits from 1 practitioner
Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1437213105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR",
            "address_2": "SUITE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813574",
            "telephone_number": "512-206-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR",
            "address_2": "SUITE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813574",
            "telephone_number": "512-206-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND VASCULAR OF CENTRAL TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "LUCID",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "512-206-2999"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K2357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.

Verify at the official NPI Registry.