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KPS CARDIOVASCULAR SURGERY PA NPI 1467543835


NPI Information

NPI: 1467543835
Provider Name: KPS CARDIOVASCULAR SURGERY PA
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
118 SHENANDOAH DR
SUITE A
SHENANDOAH, TX
ZIP 77381
Phone: (281) 583-4000
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KPS CARDIOVASCULAR SURGERY PA is a thoracic surgery cardiothoracic vascular surgery in Shenandoah, TX. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. KPS CARDIOVASCULAR SURGERY PA NPI is 1467543835. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

118 SHENANDOAH DR
SUITE A
SHENANDOAH, TX
ZIP 77381-204
Phone: (281) 583-4000
Fax: (281) 580-5079

The provider's authorized official is Clifford Kitten .
The authorized official title is President and has the following contact phone number (281) 583-4000.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 9/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1095021403MEDICAIDTEXAS
200R51ZMEDICARE PINTEXAS
3CT1687MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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