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Organization
CORPORATE CARDIAC CONSULTANTS LLC
Active
Organization
CORPORATE CARDIAC CONSULTANTS LLC
Active
Other names
Speedway EMS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE GENZEL M.D. (CHIEF EXECUTIVE OFFICER)
(817) 421-2580
Entity
Organization
Contact information
Practice address
1305 BENT CREEK DR, SOUTHLAKE, TX 76092-9433
(817) 421-2580
Mailing address
1305 BENT CREEK DR, SOUTHLAKE, TX 76092-9433
(817) 421-2580
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000125
TX
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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