Organization Active NPI

Texas Endovascular Associates, PLLC

  • Vascular & Interventional Radiology Physician
  • Bellaire, TX
National Provider Identifier
1689044281
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
TEXAS ENDOVASCULAR ASSOCIATES, PLLC
Practice address
4747 Bellaire Blvd
Suite 575
Bellaire, TX 77401-4527
Phone
(713) 575-3686
Fax
(713) 575-3688
NPI assigned
Sep 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Dr. Eric Hardee, M.D.NPI 1043298482
Title
Medical Director
Phone
(713) 575-3686

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
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

4747 Bellaire Blvd
Suite 575
Bellaire, TX 77401-4527

Mailing address

4747 Bellaire Blvd
Suite 575
Bellaire, TX 77401-4527
Phone (713) 575-3686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160316001915 TX Part B Supplier - Clinic/Group Practice 2961708979 Receives reassigned benefits from 16 practitioners
Practice locations: Bellaire, TX; Katy, TX; Shenandoah, TX; Sugar Land, TX; Webster, TX

National Provider Directory

National Provider Directory

Locations

4747 Bellaire Blvd
Ste 575
Bellaire, TX 77401
Phone (713) 541-6988

8850 Six Pines Dr
Ste 280
Shenandoah, TX 77380
Phone (713) 575-3986

7619 Branford Pl
Ste 230
Sugar Land, TX 77479

15555 Creek Bend Dr
Sugar Land, TX 77478

7619 Branford Pl
Sugar Land, TX 77479

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12005/brand/6/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1689044281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD",
            "address_2": "SUITE 575",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014527",
            "telephone_number": "713-575-3686",
            "fax_number": "713-575-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD",
            "address_2": "SUITE 575",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014527",
            "telephone_number": "713-575-3686",
            "fax_number": "713-575-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ENDOVASCULAR ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "HARDEE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-575-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.