Active NPI
Hallett Heart PA
- Interventional Cardiology Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- 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, 2017
- 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
- Robert Victor Hallett, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171970001 | Medicaid | TX | |
| 0054LX | Other | TX | BC |
| DD0066 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Interventional Cardiology Physician
- Lufkin, TX
- NPI 1720004799
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.