Organization
CONSULTANTS IN CARDIO THORACIC AND VASCULAR SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS L MACIAS M.D. (VICE PRESIDENT)
(817) 335-1131
Entity
Organization
Contact information
Practice address
909 9TH AVE, SUITE 210, FORT WORTH, TX 76104-3903
(817) 335-1131
(817) 335-2514
Mailing address
909 9TH AVE, SUITE 210, FORT WORTH, TX 76104-3903
(817) 335-1131
(817) 335-2514
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
04/14/2006
Last updated
04/06/2010
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