The Heart Doctor Imaging Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

THE HEART DOCTOR IMAGING CENTER

Practice address

5124 North St
Nacogdoches, TX 75965-1368

Phone

(936) 564-2828

Fax

(936) 569-1956

NPI assigned

Aug 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa G Young, RN

Title

Office Administrator

Phone

(936) 564-2828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770696007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651368",
            "telephone_number": "936-564-2828",
            "fax_number": "936-569-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651368",
            "telephone_number": "936-564-2828",
            "fax_number": "936-569-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART DOCTOR IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "936-564-2828",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY ID",
            "identifier": "HH1822",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TGH Therapy PLLC
• TH Healthcare, LTD (NMC Inpatient Rehabilitation)
• TH Healthcare, LTD (Nacogdoches Medical Center)
• Samuel Than, PHARMD
• The Dental Center of Nacogdoches (Brent A Stephens,DDS PA)
• The Heart Doctor, Inc.
• Ronald G. Theiss, DDS, MAGD
• Therapy Elite, LLC
• Clifton E Thomas, M.D.
• David Andrew Thomas, M.D.

• Medical Specialty Clinic/Center in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.