Provider Demographics
NPI:1710770037
Name:MEMORIAL CITY CARDIOLOGY ASSOCIATES PA
Entity type:Organization
Organization Name:MEMORIAL CITY CARDIOLOGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUSE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:901-219-8656
Mailing Address - Street 1:341 COOL SPRINGS BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7332
Mailing Address - Country:US
Mailing Address - Phone:832-755-7032
Mailing Address - Fax:
Practice Address - Street 1:1331 W GRAND PKWY N STE 130
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2711
Practice Address - Country:US
Practice Address - Phone:281-398-4944
Practice Address - Fax:281-398-3599
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEMORIAL CITY CARDIOLOGY ASSOCIATES PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC3500XNursing Service ProvidersRegistered NurseCardiac RehabilitationGroup - Single Specialty