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Organization
CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A
Active
Organization
CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHUTICH (DIRECTOR OF BUSINESS SERVICES)
(512) 615-6224
Entity
Organization
Contact information
Practice address
4810 N LOOP 289, LUBBOCK, TX 79416-3025
(512) 807-3160
(512) 494-1990
Mailing address
7215 WYOMING SPGS, BUILDING 1, SUITE 100, ROUND ROCK, TX 78681-4312
(512) 807-3160
(512) 494-1990
Taxonomy
Speciality
Code
Description
License number
State
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
04/20/2011
Last updated
04/20/2011
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