Organization
CARDIOVASCULAR ANESTHESIOLOGY,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD PARICIO MD (OWNER)
(512) 407-8444
Entity
Organization
Contact information
Practice address
3801 N LAMAR BLVD, AUSTIN, TX 78756-4080
(512) 407-8444
(512) 407-8097
Mailing address
PO BOX 300087, AUSTIN, TX 78703-0002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00099N
BLUE CROSS
—
05
—
079872001
—
TX
01
—
CG9719
MEDICARE RAILROAD
—
Enumeration date
10/19/2006
Last updated
07/08/2013
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