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Organization

CARDIOLOGY ASSOCIATES OF WEST TEXAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MILTIADIS LEON M.D. (DIRECTOR)
(325) 655-7969
Entity
Organization

Contact information

Practice address
3180 EXECUTIVE DR STE 102, SAN ANGELO, TX 76904-6837
(325) 944-1240
Mailing address
3180 EXECUTIVE DR STE 102, SAN ANGELO, TX 76904-6837
(325) 944-1240

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0044NT
BC/BS GROUP
TX
05
183372501
TX
01
45D1081287
CLIA NUMBER
TX
Enumeration date
08/05/2006
Last updated
02/06/2026
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