Civitello, Andrew B

Civitello, Andrew B is an individual health care provider with primary practice located at 7200 Cambridge St Fl 6 , Houston TX 77030-4202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Civitello, Andrew B can be contacted via phone (713) 798-2545.

Contact Information

Primary practice address
7200 Cambridge St Fl 6 Houston TX 77030-4202
Phone: (713) 798-2545
Fax: (713) 798-2578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X K4661 Texas
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X K4661 Texas

Profile Details

NPI number 1104863745
LBN Legal business name Civitello, Andrew B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104863745 NPPES
Texas MEDICAID 038749003

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