# TEXAS CARDIAC AND VASCULAR SPECIALISTS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447953351
- **Authorized official:** LEAH HAYNES (CREDENTIALING MANAGER)
- **Authorized official phone:** (726) 208-3118

## Contact information

- **Practice address:** 718 LEXINGTON AVENUE, SUITE 102, SAN ANTONIO, TX 78212-4768
- **Practice address phone:** (210) 420-8671
- **Practice address fax:** (210) 899-1958
- **Mailing address:** 718 LEXINGTON AVE STE 102, SAN ANTONIO, TX 78212-4790
- **Mailing address phone:** (210) 420-8671
- **Mailing address fax:** (210) 899-1958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 03/22/2023
- **Last updated:** 02/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 459752801 | — | TX |
| 05 | — | 472013801 | — | TX |
| 05 | — | 472017901 | — | TX |