| Heart Disease Center, Pa | |
|
5501 Louetta Rd Ste D Spring TX 77379-7868 | |
| (281) 257-2020 | |
| (281) 257-2026 |
| Full Name | Heart Disease Center, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5501 Louetta Rd Ste D, Spring, Texas |
| Authorized Official Name and Position | Sandy N Shah (OWNER) |
| Authorized Official Contact | 2812572020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Disease Center, Pa Po Box 62837 Houston TX 77205-2801 Ph: (281) 257-2020 | Heart Disease Center, Pa 5501 Louetta Rd Ste D Spring TX 77379-7868 Ph: (281) 257-2020 |
| NPI Number | 1558529461 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 04/08/2020 |
| Medicare PECOS PAC ID | 1951464585 |
|---|---|
| Medicare Enrollment ID | O20090108000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558529461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sandy N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639242266 PECOS PAC ID: 5193781508 Enrollment ID: I20041207001261 |
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