Organization
CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHUTICH (ADMINISTRATIVE ASSISTANT)
(512) 615-6224
Entity
Organization
Contact information
Practice address
6901 MEDICAL PKWY., 1ST FLOOR, WACO, TX 76712-7910
(512) 617-6000
Mailing address
5301 RIATA PARK COURT, BLDG. D, STE. 200, AUSTIN, TX 78727-3438
(512) 617-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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