FEDERICO MAESE MD PA NPI 1508136052

NPI Information

NPI: 1508136052
Provider Name: FEDERICO MAESE MD PA

Doing Business As: FERRIS HEART CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
269 E OVILLA RD STE 100
RED OAK, TX
ZIP 75154
Phone: (469) 719-3690
Get Directions

FEDERICO MAESE MD PA is a cardiovascular disease internal medicine in Red Oak, TX. The provider is 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. FEDERICO MAESE MD PA NPI is 1508136052. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ferris Heart Center.

The provider's business location address is:

269 E OVILLA RD STE 100
RED OAK, TX
ZIP 75154-616
Phone: (469) 719-3690
Fax: (469) 719-3680

The provider's authorized official is Federico Maese .
The authorized official title is President and has the following contact phone number (469) 719-3690.

The enumeration date for this NPI number is 12/30/2011 and was last updated on 2/7/2023.

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
1	174400000X	Specialist		J4319	TEXAS	No
2	293D00000X	Physiological Laboratory				No
3	207RC0000X	Internal Medicine	Cardiovascular Disease			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
1	J4319	OTHER	TEXAS	LICENSE TX
2	131230801	MEDICAID	TEXAS
3	TXB145190	OTHER	TEXAS	MEDICARE PTAN

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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