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ELITE HEART LUNG AND VEIN SURGEONS NPI 1982119061


NPI Information

NPI: 1982119061
Provider Name: ELITE HEART, LUNG, AND VEIN SURGEONS

Former Legal Business Name: ELITE HEART, LUNG, AND VEIN SURGEONS

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
920 MEDICAL PLAZA DR STE 360
SHENANDOAH, TX
ZIP 77380
Phone: (281) 803-8482
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ELITE HEART, LUNG, AND VEIN SURGEONS 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. ELITE HEART, LUNG, AND VEIN SURGEONS NPI is 1982119061. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Elite Heart, Lung, And Vein Surgeons.

The provider's business location address is:

920 MEDICAL PLAZA DR STE 360
SHENANDOAH, TX
ZIP 77380-271
Phone: (281) 803-8482
Fax: (281) 803-8432

The provider's authorized official is Lacey Buford .
The authorized official title is Practice Administrator and has the following contact phone number (936) 648-6975.

The enumeration date for this NPI number is 12/11/2017 and was last updated on 4/23/2021.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)L1655TEXASYes

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
1145174210MEDICAIDTEXAS

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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