Organization
TEXAS CARDIOVASCULAR CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK N CHUTICH (EXECUTIVE ASSISTANT)
(512) 615-6224
Entity
Organization
Contact information
Practice address
5656 BEE CAVES RD, BLDG. M, SUITE 300, WEST LAKE HILLS, TX 78746-5280
(512) 617-6000
(512) 615-0459
Mailing address
5301 RIATA PARK COURT, BLDG. D, SUITE 200, AUSTIN, TX 78727-3438
(512) 617-6000
(512) 615-0459
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
05
—
83432702
—
TX
Enumeration date
03/13/2009
Last updated
03/13/2009
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