Organization
CARDIOVASCULAR CONSULTANTS CENTRAL TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE S REBECCA MD (SOLE MEMBER)
(254) 526-9766
Entity
Organization
Contact information
Practice address
4200 W STAN SCHLUETER LOOP BLDG C, KILLEEN, TX 76549-5724
(254) 526-9766
(254) 637-7700
Mailing address
4200 W STAN SCHLUETER LOOP BLDG C, KILLEEN, TX 76549-5724
(254) 526-9766
(254) 637-7700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J3883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034410301
—
TX
Enumeration date
04/28/2015
Last updated
12/14/2016
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