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Organization

CARDIOTHORACIC AND VASCULAR SURGEONS,PA

Active
Parent organization
CARDIOTHORACIC AND VASCULAR SURGEONS, PA
Other names
VeinSolutions
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARDIOTHORACIC AND VASCULAR SURGEONS, PA
Authorized official
MICHAEL W JOHNSON (CFO)
(512) 459-8753
Entity
Organization

Contact information

Practice address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 651-8441
Mailing address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 651-8441

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0025DM
SAN ANGELO BCBS GROUP NO
TX
01
00R517
BCBS AUSTIN GROUP NO
TX
05
121680602
TX
01
1326061714
NPI
TX
Enumeration date
07/26/2006
Last updated
02/24/2011
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