Cardiac Cath Lab of Tyler LP

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CARDIAC CATH LAB OF TYLER LP

Doing business as

Tyler Cardiac & Endovascular Center

Practice address

1769 Troup Hwy
Tyler, TX 75701

Phone

(903) 535-4000

Fax

(903) 535-4001

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Gregg Miller, MD

Title

Authorized Official

Phone

(610) 644-8900

Specialties & licenses 1

Addresses

Other names 1

• Tyler Cardiac & Endovascular Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ediberto Soto-Cora, M.D.

  • Cardiovascular Disease Physician
  • El Paso, TX
  • NPI 1588679443
  NPD (past)

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1497992846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT# 3008, PO BOX 4417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104417",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-535-4000",
            "fax_number": "903-535-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CATH LAB OF TYLER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "610-644-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyler Cardiac & Endovascular Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tyler Cardiac & Endovascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lynn Cantwell, PHARMD
• Lan Cao, PHARMD
• Shaine Cararas, DC, PHD, LMT
• Dorothy D Card
• Monique Cardenas
• Andria Beth Cardinalli-Stein, M.D.
• Cardiopulmonary Services, Inc (CPS Medical)
• Cardiovascular Associates of East Texas PA
• Care First Pharmacy, LLC (Smart Rx Pharmacy 20001)
• Carefirst Medical Associates and Pain Rehabilitation, PA

• Multi-Specialty Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.