Organization Active NPI

Coastal Texas Cardiovascular Inc

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1659491256
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
COASTAL TEXAS CARDIOVASCULAR INC
Practice address
800 Peakwood Dr
4B
Houston, TX 77090-2900
Phone
(281) 397-7000
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Taylor Pickett, MD
Title
Director
Phone
(281) 397-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

800 Peakwood Dr
4B
Houston, TX 77090-2900

Mailing address

PO Box 11407
Birmingham, AL 35246-0100
Phone (713) 850-1190

National Provider Directory

National Provider Directory

Locations

113 Stonemont Rd
Lafayette, LA 70508
Phone (337) 993-2822

5300 Freret St
New Orleans, LA 70115
Phone (504) 891-1553

800 Peakwood Dr
Ste 4B
Houston, TX 77090
Phone (281) 397-7000

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1659491256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460100",
            "telephone_number": "713-850-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "4B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902900",
            "telephone_number": "281-397-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL TEXAS CARDIOVASCULAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-397-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.