Organization Active NPI

Texas Coast Cardiovascular LLC

  • Cardiovascular Disease Physician
  • Harlingen, TX
National Provider Identifier
1497943138
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L3283 Issued in TX
Legal business name
TEXAS COAST CARDIOVASCULAR LLC
Practice address
597 W Sesame Dr
Suite C
Harlingen, TX 78550-8364
Phone
(956) 412-7503
Fax
(956) 423-0914
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Lisa M Dix-Emperador, M.D.NPI 1568410975
Title
President
Phone
(956) 412-7503

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X L3283 TX Primary

Addresses

Primary practice location

597 W Sesame Dr
Suite C
Harlingen, TX 78550-8364

Mailing address

597 W Sesame Dr
Suite C
Harlingen, TX 78550-8364
Phone (956) 412-7503

Other identifiers 7

IdentifierTypeStateIssuer
0039RAOtherTXBCBS
8AW384OtherTXBCBS
1505398-01MedicaidTX
1505398-02MedicaidTX
060068750OtherTXRAILROAD MEDICARE
0035HKOtherTXBCBS
1757668-01MedicaidTX

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1497943138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 W SESAME DR",
            "address_2": "SUITE C",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508364",
            "telephone_number": "956-412-7503",
            "fax_number": "956-423-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 W SESAME DR",
            "address_2": "SUITE C",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508364",
            "telephone_number": "956-412-7503",
            "fax_number": "956-423-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS COAST CARDIOVASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "DIX-EMPERADOR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-412-7503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L3283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0039RA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AW384",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505398-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505398-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060068750",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0035HK",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1757668-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.