Organization Active NPI

Henry Leroy Burkholder IV MD, PLLC

  • Pediatric Cardiology Physician
  • The Woodlands, TX
National Provider Identifier
1659078632
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
HENRY LEROY BURKHOLDER IV MD, PLLC
Practice address
17450 St Lukes Way Ste 230
The Woodlands, TX 77384-8045
Phone
(281) 843-8441
NPI assigned
Feb 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Paul Tate
Title
VP Business Operations
Phone
(713) 737-5912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

17450 St Lukes Way Ste 230
The Woodlands, TX 77384-8045

Mailing address

13100 Wortham Center Dr FL 3
Houston, TX 77065-5625
Phone (713) 737-5912

Other identifiers 4

IdentifierTypeStateIssuer
332420OtherLAMD LICENSE
N7062OtherTXTEXAS MEDICAL BOARD
DR.0067463OtherCOMD LICENSE
1134474380OtherNPI

Other names 2

  • Catch Cardiology Other name
  • Catch Mobile Health; Catch Cardiology Other name

National Provider Directory

National Provider Directory

Locations

1725 Hughes Landing Blvd
Ste 11
The Woodlands, TX 77380

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1659078632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 WORTHAM CENTER DR FL 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655625",
            "telephone_number": "713-737-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17450 ST LUKES WAY STE 230",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848045",
            "telephone_number": "281-843-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY LEROY BURKHOLDER IV MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VP BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "713-737-5912"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "332420",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "N7062",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "DR.0067463",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134474380",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catch Cardiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Catch Cardiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Catch Mobile Health; Catch Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.