Wellspring Cardiovascular & Thoracic Surgery, Pa
LBN: Wellspring Cardiovascular & Thoracic Surgery, Pa
Wellspring Cardiovascular & Thoracic Surgery, Pa is an health care organization with primary practice located at 6400 Fannin St Ste. 2500, Houston TX 77030-1521. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty.
Wellspring Cardiovascular & Thoracic Surgery, Pa can be contacted via phone (713) 795-4545, or through Davis, Cornelius Alexander via phone (713) 795-4545.
Contact Information
Primary practice address
6400 Fannin St Ste. 2500
Houston TX 77030-1521
Phone: (713) 795-4545
Fax: (713) 795-4595
Website:
Authorized official contact:
Name: Davis, Cornelius Alexander Doctor of Medicine (MD)
Phone: (713) 795-4545
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | L7349 | Texas |
Profile Details
NPI number | 1861681009 |
---|---|
LBN Legal business name | Wellspring Cardiovascular & Thoracic Surgery, Pa |
DBA Doing business as | |
Authorized official | Davis, Cornelius Alexander Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 23rd, 2007 |
Last updated | Oct 24th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861681009 | NPPES |
Texas | Other | 1528037975 | INDIVIDUAL NPI |
Texas | MEDICAID | 1653768-01 | INDIVIDUAL NPI |
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