# CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A

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

## Provider details

- **NPI number:** 1730470105
- **Authorized official:** MARK CHUTICH (DIRECTOR OF BUSINESS SERVICES)
- **Authorized official phone:** (512) 615-6224

## Contact information

- **Practice address:** 311 CAMDEN ST, SUITE 216, SAN ANTONIO, TX 78215-2012
- **Practice address phone:** (512) 807-3150
- **Mailing address:** 7215 WYOMING SPGS, BULDING 1 SUITE 100, ROUND ROCK, TX 78681-4312
- **Mailing address phone:** (512) 807-3160
- **Mailing address fax:** (512) 494-1990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 04/20/2011