Organization
CVC CARDIAC CATH LAB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOHN CARNEY M.D. (PRESIDENT)
(903) 595-5514
Entity
Organization
Contact information
Practice address
2401 SSE LOOP 323, TYLER, TX 75701-6027
(903) 595-5514
Mailing address
2401 SSE LOOP 323, TYLER, TX 75701-6027
(903) 595-5514
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
TX
207RI0011X
Interventional Cardiology Physician
—
TX
Other
Enumeration date
08/01/2012
Last updated
02/24/2014
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