Organization Active NPI

Hallett Heart PA

  • Interventional Cardiology Physician
  • Lufkin, TX
National Provider Identifier
1902074990
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
HALLETT HEART PA
Practice address
1113 Ellis Ave
Lufkin, TX 75904-3346
Phone
(936) 899-7184
Fax
(936) 899-7203
NPI assigned
Feb 13, 2008
Last updated
Apr 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Robert Victor Hallett, MDNPI 1720004799
Title
Owner
Phone
(936) 631-3045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

1113 Ellis Ave
Lufkin, TX 75904-3346

Mailing address

1113 Ellis Ave
Lufkin, TX 75904-3346
Phone (936) 899-7184

Other identifiers 3

IdentifierTypeStateIssuer
171970001MedicaidTX
0054LXOtherTXBC
DD0066OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

110 Magee Ln
Groveton, TX 75845
Phone (936) 642-0841

1111 W Frank Ave
Ste 202
Lufkin, TX 75904
Phone (936) 631-3045

120 W Columbia St
San Augustine, TX 75972
Phone (936) 288-3520

Practitioners & affiliated clinicians

Practitioners 1

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1902074990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043346",
            "telephone_number": "936-899-7184",
            "fax_number": "936-899-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043346",
            "telephone_number": "936-899-7184",
            "fax_number": "936-899-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLETT HEART PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "HALLETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-631-3045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171970001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0054LX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD0066",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.