Organization Active NPI

Central Texas Cardiology PA

  • Cardiovascular Disease Physician
  • Waco, TX
National Provider Identifier
1922045335
Registry record updated Sep 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CENTRAL TEXAS CARDIOLOGY PA
Practice address
2901 Wooded Acres Dr
Waco, TX 76710-1254
Phone
(254) 755-8095
Fax
(254) 755-6319
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2015

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

Authorized official

Name
Jose Garrido
Title
Owner
Phone
(254) 755-8095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2901 Wooded Acres Dr
Waco, TX 76710-1254

Mailing address

2901 Wooded Acres Dr
Waco, TX 76710-1254
Phone (254) 755-8095

Other identifiers 1

IdentifierTypeStateIssuer
079647601MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1922045335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 WOODED ACRES DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767101254",
            "telephone_number": "254-755-8095",
            "fax_number": "254-755-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WOODED ACRES DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767101254",
            "telephone_number": "254-755-8095",
            "fax_number": "254-755-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "GARRIDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-755-8095"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079647601",
            "state": "TX"
        }
    ],
    "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 Sep 12, 2015; 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.