# CARDIOVASCULAR SUPPORT SERVICES

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

## Provider details

- **NPI number:** 1598031379
- **Authorized official:** GINGER CHASE (PERFUSIONIST)
- **Authorized official phone:** (214) 824-2510

## Contact information

- **Practice address:** 865 DESHONG DR, PARIS, TX 75460-9313
- **Practice address phone:** (903) 785-4521
- **Practice address fax:** (903) 737-3848
- **Mailing address:** 621 N HALL ST, SUITE 500, DALLAS, TX 75226-1339
- **Mailing address phone:** (214) 824-2510
- **Mailing address fax:** (214) 826-0130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 242T00000X | Perfusionist | PF1153 | TX | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 03/27/2012