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Organization
CONSULTANTS IN CARDIO THORACIC AND VASCULAR SURGERY, P.A.
Active
Organization
CONSULTANTS IN CARDIO THORACIC AND VASCULAR SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS L MACIAS M.D. (VICE PRESIDENT)
(817) 335-1131
Entity
Organization
Contact information
Practice address
909 9TH AVE, SUITE 210, FORT WORTH, TX 76104-3903
(817) 335-1131
(817) 335-2514
Mailing address
909 9TH AVE, SUITE 210, FORT WORTH, TX 76104-3903
(817) 335-1131
(817) 335-2514
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
04/14/2006
Last updated
04/06/2010
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