Organization Active NPI

Central Texas Cardiovascular

  • Specialist
  • Waco, TX
National Provider Identifier
1811900848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL TEXAS CARDIOVASCULAR
Practice address
7125 New Sanger Rd
Suite D
Waco, TX 76712-4053
Phone
(254) 741-6333
Fax
(254) 741-6364
NPI assigned
Aug 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. D. Jeffrey Young, M.D.
Title
President
Phone
(254) 741-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

7125 New Sanger Rd
Suite D
Waco, TX 76712-4053

Mailing address

7125 New Sanger Rd
Suite D
Waco, TX 76712-4053
Phone (254) 741-6333

National Provider Directory

National Provider Directory

Locations

405 Londonderry Dr
Ste 301
Waco, TX 76712
Phone (241) 741-6333

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811900848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 NEW SANGER RD",
            "address_2": "SUITE D",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767124053",
            "telephone_number": "254-741-6333",
            "fax_number": "254-741-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 NEW SANGER RD",
            "address_2": "SUITE D",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767124053",
            "telephone_number": "254-741-6333",
            "fax_number": "254-741-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS CARDIOVASCULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-741-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • 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.