CLEAR LAKE CARDIOVASCULAR CARE PA – NPI #1114956869
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

CLEAR LAKE CARDIOVASCULAR CARE PA is a provider located in WEBSTER, TX. NPPES has assigned the NPI number 1114956869 to CLEAR LAKE CARDIOVASCULAR CARE PA on July 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 16 years ago on Jan 07, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEAR LAKE CARDIOVASCULAR CARE PA below.

NPI Profile for
CLEAR LAKE CARDIOVASCULAR CARE PA

NPI Number
1114956869
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEAR LAKE CARDIOVASCULAR CARE PA
Primary location
450 MEDICAL CENTER BLVD
SUITE 308
WEBSTER, TX 77598-4234
Phone: (281) 332-1515 Fax: (281) 332-2525
Mailing address
PO BOX 58535
WEBSTER, TX 77598-8535
Phone: (281) 332-1515 Fax: (281) 332-2525
Organization Subpart
No
Authorized Official
AHMED AHMED
PRESIDENT
Phone: (281) 332-1515
Updated
Identifiers

Identifiers for CLEAR LAKE CARDIOVASCULAR CARE PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPITX1114956869
MEDICAIDTX184676801
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 TX K9962

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.