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Organization
SOUTHWESTERN CARDIOVASCULAR SURGICAL ASSOCIATES
Active
Organization
SOUTHWESTERN CARDIOVASCULAR SURGICAL ASSOCIATES
Active
Other names
Lubbock Heart Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT SMITH (PRACTICE MANAGER)
(806) 792-8185
Entity
Organization
Contact information
Practice address
4408 6TH ST, LUBBOCK, TX 79416-4732
(806) 792-8185
(806) 792-9180
Mailing address
4408 6TH ST, LUBBOCK, TX 79416-4732
(806) 792-8185
(806) 792-9180
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FM38
BLUE CROSS BLUE SHIELD
—
05
—
094904202
—
TX
Enumeration date
01/05/2007
Last updated
10/10/2008
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