Provider Demographics
NPI:1487787073
Name:CARDIAC CATH LAB OF SUGARLAND LP
Entity type:Organization
Organization Name:CARDIAC CATH LAB OF SUGARLAND LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SPELLMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-812-7586
Mailing Address - Street 1:10000 MEMORIAL DR
Mailing Address - Street 2:SUITE 540
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-3422
Mailing Address - Country:US
Mailing Address - Phone:713-961-4126
Mailing Address - Fax:713-961-7680
Practice Address - Street 1:16651 SOUTHWEST FWY
Practice Address - Street 2:SUITE 250
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2345
Practice Address - Country:US
Practice Address - Phone:281-240-1016
Practice Address - Fax:281-240-0831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty