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Organization
LONE STAR CARDIAC ARRHYTHMIA, P.C.
Active
Organization
LONE STAR CARDIAC ARRHYTHMIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK N CHUTICH (OPERATIONS MANAGER)
(512) 615-6224
Entity
Organization
Contact information
Practice address
311 CAMDEN ST, SUITE 216, SAN ANTONIO, TX 78215-2012
(210) 212-5331
(210) 212-5315
Mailing address
7215 WYOMING SPRINGS DR., BLDG. 1, STE. 100, ROUND ROCK, TX 78681-4311
(512) 615-6224
(512) 615-0459
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
10/14/2010
Last updated
04/08/2011
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