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Organization
TEXAS CARDIAC ARRHYTHMIA PLLC
Active
Organization
TEXAS CARDIAC ARRHYTHMIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY TYPHAIR (DIRECTOR OF BUSINESS SERVICES)
(512) 615-6218
Entity
Organization
Contact information
Practice address
441 HWY 71 W, BASTROP, TX 78602-3931
(512) 807-3150
(512) 494-1990
Mailing address
3000 N IH 35, SUITE 700, AUSTIN, TX 78705-1804
(512) 615-6218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
12/16/2010
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