Organization
SOUTHWEST CARDIOVASCULAR CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE D KELLEY (OFFICE MANAGER)
(713) 791-9400
Entity
Organization
Contact information
Practice address
6624 FANNIN ST, SUITE 2220, HOUSTON, TX 77030-2334
(713) 791-9400
(713) 795-5651
Mailing address
6624 FANNIN ST, SUITE 2220, HOUSTON, TX 77030-2334
(713) 791-9400
(713) 795-5651
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FB19
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/13/2006
Last updated
10/03/2007
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