Active NPI
Central Texas Cardiology PA
- Cardiovascular Disease Physician
- Waco, TX
National Provider Identifier
1922045335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079647601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Waco, TX
- NPI 1932149101
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
- Centex Spine & Rehab, LLC
- Central Park Clinic Coorporation
- Central Texas Advanced Medical Imaging LP
- Central Texas Anesthesiology Associates
- Central Texas Anesthesiology Associates Inc
- Central Texas Cardiovascular
- Central Texas DME Inc.
- Central Texas Eye Clinic, PA
- Central Texas Homecare, LLC
- Central Texas Institute of Plastic Surgery, PA
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.