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Organization

F S DIAGNOSTICS P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNDI BREAZEALE (OFFICE MANAGER)
(713) 988-9512
Entity
Organization

Contact information

Practice address
7737 SOUTHWEST FWY, SUITE 780, HOUSTON, TX 77074-1807
(713) 988-9512
(713) 988-9515
Mailing address
7301 STATE HIGHWAY 161, SUITE 100, IRVING, TX 75039-2816
(972) 387-5800
(972) 387-5809

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RI0011X
Interventional Cardiology Physician
207UN0901X
Nuclear Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G92G
BLUE CROSS
TX
05
082754501
TX
Enumeration date
01/06/2009
Last updated
01/09/2009
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