Organization
TEXAS CARDIOVASCULAR CONSULTANTS-SAN ANGELO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. DIECK JR. M.D. (CHIEF EXECUTIVE OFFICER)
(512) 441-1633
Entity
Organization
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(800) 530-4143
Mailing address
42 EAST AVE, AUSTIN, TX 78701-4317
(512) 441-1633
(512) 615-0459
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
06/05/2007
Last updated
08/09/2007
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