Provider Demographics
NPI:1043264039
Name:EP-CARDIOLOGY PA
Entity type:Organization
Organization Name:EP-CARDIOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-799-1610
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1723
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-799-1610
Mailing Address - Fax:713-799-1558
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1723
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-799-1610
Practice Address - Fax:713-799-1558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCH7910OtherMEDICARE RAILROAD
TX144476201Medicaid
TX00438ROtherBLUE CROSS BLUE SHIELD
TXCH7910OtherMEDICARE RAILROAD