# CARDIO VASCULAR THORACIC SURGERY LLC

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

## Provider details

- **NPI number:** 1831171370
- **Authorized official:** MARIO MATOS-CRUZ MD (OWNER)
- **Authorized official phone:** (812) 886-4383

## Contact information

- **Practice address:** 520 S 7TH ST, GOOD SAMARITIAN HOSPITAL, VINCENNES, IN 47591-1038
- **Practice address phone:** (812) 885-3243
- **Practice address fax:** (812) 885-3915
- **Mailing address:** PO BOX 1823, VINCENNES, IN 47591-7823
- **Mailing address phone:** (812) 886-4383
- **Mailing address fax:** (812) 886-4385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 01045697 | IN | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 08/22/2020