Deerbrook Cath Lab LLC
NPI 1104329440ActiveOrganization· Internal Medicine, Interventional Cardiology· Humble, TX
Internal Medicine, Interventional Cardiology in Humble, Texas, registered in NPPES in March 2018. The authorized official on file is Ricky Paul Ganim, MD, Co-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104329440 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2018 |
| Last updated in NPPES | Jan 9, 2020 |
| Certified by provider | Jan 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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