Active NPI
Deerbrook Cardiology, PLLC
- General Acute Care Hospital
- Houston, TX
National Provider Identifier
1750671764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.