Andrew B Civitello Md Pa

LBN: Andrew B Civitello Md Pa
Andrew B Civitello Md Pa is an health care organization with primary practice located at 1200 Binz St Suite 1290, Houston TX 77004-6900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Andrew B Civitello Md Pa can be contacted via phone (713) 526-8900, or through Civitello, Alice Cathy via phone (713) 526-8900.

Contact Information

Primary practice address
1200 Binz St Suite 1290 Houston TX 77004-6900
Fax: (713) 526-8901
Website:
Authorized official contact:
Name: Civitello, Alice Cathy Physician's Assistant Certified (PA-C)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X K4661 Texas

Profile Details

NPI number 1245410018
LBN Legal business name Andrew B Civitello Md Pa
DBA Doing business as
Authorized official Civitello, Alice Cathy Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2007
Last updated May 25th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245410018 NPPES
Texas MEDICAID 191438401

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