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Organization
TEXAS CARDIAC AND VASCULAR SPECIALISTS PA
Active
Organization
TEXAS CARDIAC AND VASCULAR SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH HAYNES (CREDENTIALING MANAGER)
(726) 208-3118
Entity
Organization
Contact information
Practice address
718 LEXINGTON AVENUE, SUITE 102, SAN ANTONIO, TX 78212-4768
(210) 420-8671
(210) 899-1958
Mailing address
718 LEXINGTON AVE STE 102, SAN ANTONIO, TX 78212-4790
(210) 420-8671
(210) 899-1958
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459752801
—
TX
05
—
472013801
—
TX
05
—
472017901
—
TX
Enumeration date
03/22/2023
Last updated
02/27/2025
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