Organization
ABILENE CARDIOLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE COOK (CEO)
(325) 793-3314
Entity
Organization
Contact information
Practice address
1201 N 18TH ST, ABILENE, TX 79601-2932
(325) 793-3100
(325) 673-9223
Mailing address
1201 N 18TH ST, ABILENE, TX 79601-2932
(325) 793-3100
(325) 673-9223
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BW79
BCBS
TX
05
—
081839501
—
TX
01
—
CC204051306
FIRSTCARE
—
01
—
CP3090
RAILROAD MEDICARE
—
Enumeration date
08/31/2006
Last updated
06/09/2008
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