Organization Active NPI

Deerbrook Cardiology, PLLC

  • General Acute Care Hospital
  • Houston, TX
National Provider Identifier
1750671764
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
DEERBROOK CARDIOLOGY, PLLC
Practice address
6400 Fannin St
Ste 2210B
Houston, TX 77030-1521
Phone
(713) 660-1710
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. Mazen Ganim
Title
Authorized Official
Phone
(713) 532-7311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

6400 Fannin St
Ste 2210B
Houston, TX 77030-1521

Mailing address

6400 Fannin St
Ste 2210B
Houston, TX 77030-1521

National Provider Directory

National Provider Directory

Locations

6400 Fannin St
Ste 2210B
Houston, TX 77030
Phone (713) 796-9696

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1750671764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "STE 2210B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "STE 2210B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-660-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERBROOK CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "GANIM",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-532-7311",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "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 Apr 11, 2011; 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.