CTX CARE OF TX IV, LLC (NPI# 1811459548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811459548 |
| Entity Type | Organization |
| Organization Name | CTX CARE OF TX IV, LLC |
| Practice Address |
1021 Main St Ste 115 Houston TX 77002-6502 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Mailing Telephone | 6153860064 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1021 MAIN ST STE 115 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742402 | Otx Care of Tx Iv, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1861954356 | Stx Care of Tx Iv, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-03 |
| 1972065464 | Stx Care of Tx IIi, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-03 |
| 1700348299 | Stx Care of Tx II, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-03 |
| 1750843256 | Stx Care of Tx V, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-03 |
| 1740742246 | Stx Care of Tx Vi, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-03 |
| 1447712948 | Stx Care of Tx, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-03 |
| 1730641416 | Otx Care of Tx Vi, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1659833390 | Ctx Care of Tx V, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1639631377 | Ctx Care of Tx Vi, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245856087 | Texas Heart Medical Group | Internal Medicine | 6770 Bertner Avenue, Houston, TX 77030-2604 | 2020-06-17 |
| 1053764134 | Donald Trillos Md Pa | Internal Medicine | 13111 East Fwy Ste 217, Houston, TX 77015-5819 | 2016-07-13 |
| 1023362233 | Marlos Ramalho Fernandes | Internal Medicine | 6720 Bertner, Mc 1-133, Houston, TX 77030 | 2012-11-09 |
| 1093079659 | Deborah Meyers Md Pllc | Internal Medicine | 6770 Bertner St # C355k, Houston, TX 77030-2604 | 2012-06-28 |
| 1801154810 | Amanda Trang | Internal Medicine | 11920 Astoria Blvd Ste 400, Houston, TX 77089 | 2012-04-26 |
| 1275890329 | John Oliver Tyler IIi | Internal Medicine | 6624 Fannin St Ste 1990, Houston, TX 77030-2330 | 2012-04-13 |
| 1023301215 | Reehan Shahzad | Internal Medicine | 20207 Chasewood Park Dr., Suite 305, Houston, TX 77070-1441 | 2011-05-19 |
| 1477843290 | Robert Alan Aertker | Internal Medicine | 6720 Bertner Ave # Mc1-133, Houston, TX 77030-2604 | 2011-04-13 |
| 1720388069 | Michael Judd Davis | Internal Medicine | 4625 Southwest Fwy, Suite 142, Houston, TX 77027-7100 | 2010-11-02 |
| 1740599620 | Humble Cardiovascular Services,pllc | Internal Medicine | 11510 N Lou Al Dr, Houston, TX 77024-2705 | 2010-09-27 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.