Organization
CARDIOLOGY AND INTERVENTIONAL VASCULAR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES B LEVIN M.D. (PRESIDENT/PHYSICIAN PARTNER)
(214) 369-3613
Entity
Organization
Contact information
Practice address
7150 GREENVILLE AVE, SUITE 650, DALLAS, TX 75231-7900
(214) 369-3613
(214) 706-2019
Mailing address
7150 GREENVILLE AVE, SUITE 650, DALLAS, TX 75231-7900
(214) 369-3613
(214) 706-2019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0845208-01
—
TX
01
—
CO1163
RAILROAD MEDICARE
TX
Enumeration date
07/28/2005
Last updated
07/30/2009
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