Organization
CAPITAL CARDIOVASCULAR CONSULTANTS, PLLC
Active
Other names
Capital Cardiovascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE D NACK CPCS (MEDICAL STAFF COORDINATOR)
(512) 334-7855
Entity
Organization
Contact information
Practice address
4207 JAMES CASEY ST, STE 215, AUSTIN, TX 78745-3300
(512) 445-5998
(512) 445-6095
Mailing address
4207 JAMES CASEY ST, STE 215, AUSTIN, TX 78745-3300
(512) 445-5998
(512) 445-6095
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093HZ
BCBS GROUP NUMBER
TX
05
—
153865403
—
TX
Enumeration date
03/14/2006
Last updated
12/28/2009
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