Active NPI
Premier Cardiology Clinic PLLC
- Cardiovascular Disease Physician
- Webster, TX
National Provider Identifier
1639724164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PREMIER CARDIOLOGY CLINIC PLLC
- Practice address
- 16969 N Texas Ave Ste 100
Webster, TX 77598-4094 - Phone
- (281) 694-4555
- Fax
- (271) 694-9555
- NPI assigned
- Aug 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Phillips
- Title
- Billing
- Phone
- (713) 854-2627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
16969 N Texas Ave Ste 100
Webster, TX 77598-4094
Mailing address
PO Box 4897
Houston, TX 77210-4897
Phone (281) 694-4555
Other practice location 1
304 Medic Ln
Alvin, TX 77511-5894
Phone (281) 694-4555
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/JAFFCD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564617600000",
"number": "1639724164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4897",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104897",
"telephone_number": "281-694-4555",
"fax_number": "281-694-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16969 N TEXAS AVE STE 100",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984094",
"telephone_number": "281-694-4555",
"fax_number": "271-694-9555"
}
],
"practiceLocations": [
{
"address_1": "304 Medic Ln",
"address_purpose": "LOCATION",
"city": "Alvin",
"state": "TX",
"postal_code": "775115894",
"country_code": "US",
"telephone_number": "281-694-4555",
"fax_number": "281-694-9555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREMIER CARDIOLOGY CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "713-854-2627"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.