Provider Demographics
NPI:1891251104
Name:WOODLANDS ELITE CARDIOLOGY, PLLC
Entity type:Organization
Organization Name:WOODLANDS ELITE CARDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOUBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-321-1111
Mailing Address - Street 1:150 PINE FOREST DR STE 702
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-5317
Mailing Address - Country:US
Mailing Address - Phone:936-321-1111
Mailing Address - Fax:936-271-3777
Practice Address - Street 1:150 PINE FOREST DR STE 702
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-5317
Practice Address - Country:US
Practice Address - Phone:936-321-1111
Practice Address - Fax:936-271-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty