Provider Demographics
NPI:1871907493
Name:TEXAS CARDIOLOGY ASSOCIATES OF GREATER HOUSTON PA
Entity type:Organization
Organization Name:TEXAS CARDIOLOGY ASSOCIATES OF GREATER HOUSTON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-465-9574
Mailing Address - Street 1:601 RIVER POINTE DR
Mailing Address - Street 2:STE 105
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2945
Mailing Address - Country:US
Mailing Address - Phone:936-465-9574
Mailing Address - Fax:480-223-4298
Practice Address - Street 1:601 RIVER POINTE DR
Practice Address - Street 2:STE 105
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2945
Practice Address - Country:US
Practice Address - Phone:936-465-9574
Practice Address - Fax:480-223-4298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3309207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty