Organization Active NPI

Cdva PLLC

  • Vascular Surgery Physician
  • Pasadena, TX
National Provider Identifier
1447869714
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CDVA PLLC
Practice address
4301 Vista Rd Ste 109
Pasadena, TX 77504-2117
Phone
(832) 781-0000
Fax
(832) 781-1000
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Mrs. Danel Monroe
Title
Coo
Phone
(832) 317-9249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

4301 Vista Rd Ste 109
Pasadena, TX 77504-2117

Mailing address

4301 Vista Rd Ste 109
Pasadena, TX 77504-2117
Phone (832) 781-0000

National Provider Directory

National Provider Directory

Locations

7505 South Fwy
Ste A
Houston, TX 77021

4301 Vista Rd
Ste 109
Pasadena, TX 77504
Phone (832) 947-4783

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1447869714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 VISTA RD STE 109",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042117",
            "telephone_number": "832-781-0000",
            "fax_number": "832-384-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 VISTA RD STE 109",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042117",
            "telephone_number": "832-781-0000",
            "fax_number": "832-781-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDVA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "DANEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-317-9249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.