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Organization

TEXAS CARDIAC AND VASCULAR SPECIALISTS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEAH HAYNES (CREDENTIALING MANAGER)
(726) 208-3118
Entity
Organization

Contact information

Practice address
718 LEXINGTON AVENUE, SUITE 102, SAN ANTONIO, TX 78212-4768
(210) 420-8671
(210) 899-1958
Mailing address
718 LEXINGTON AVE STE 102, SAN ANTONIO, TX 78212-4790
(210) 420-8671
(210) 899-1958

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
459752801
TX
05
472013801
TX
05
472017901
TX
Enumeration date
03/22/2023
Last updated
02/27/2025
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