Southeast Texas Cardiovasclar PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

SOUTHEAST TEXAS CARDIOVASCLAR PA

Practice address

800 Peakwood Dr
#4A
Houston, TX 77090-2900

Phone

(713) 850-1190

Fax

(713) 850-1327

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Devinder BhatiaNPI 1073517702

Title

Director

Phone

(713) 850-1190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Southeast Texas Cardiovasclar PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southeast Texas Cardiovascular PA

  • Vascular Surgery Physician
  • Humble, TX
  • NPI 1114255031
  NPD tax ID

Locations

Practitioners 2

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

• Devinder Bhatia, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Houston, TX
  • NPI 1073517702
  Medicare reassignment Authorized official
• Cornelius McKown Dyke, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gastonia, NC
  • NPI 1245226083
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1841211455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1398 DEPT. 03",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77251",
            "telephone_number": "713-850-1190",
            "fax_number": "713-850-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "#4A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902900",
            "telephone_number": "713-850-1190",
            "fax_number": "713-850-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS CARDIOVASCLAR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "DEVINDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-850-1190"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Nocturnists LLC
• Southeast North Carolina Seven Medical Group, PLLC
• Southeast Residential Rehab LLC
• Southeast Six Medical Group, PLLC
• Southeast Spine and Rehab
• Southeast Texas Clinical Research and Education Inc
• Southeast Texas Family Planning and Cancer Screening
• Southeast Texas Family Planning and Cancer Screening
• Southeast Texas Foot and Ankle PA
• Southeast Texas Oncology Partners

• Vascular Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.