Organization
CARDIOVASCULAR INSTITUTE OF SOUTH TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TZY SHIUAN BRUCE KUO MD (VP AND CO-PRINCIPAL)
(210) 920-8000
Entity
Organization
Contact information
Practice address
12340 BANDERA RD STE 104, HELOTES, TX 78023
(210) 920-8000
(210) 920-6000
Mailing address
12340 BANDERA RD STE 104, HELOTES, TX 78023-4575
(210) 920-8000
(210) 920-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40408753
DRIVERS LICENSE
TX
Enumeration date
12/18/2017
Last updated
04/09/2020
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