Organization
TEXAS COAST CARDIOVASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M DIX-EMPERADOR M.D. (PRESIDENT)
(956) 412-7503
Entity
Organization
Contact information
Practice address
597 W SESAME DR, SUITE C, HARLINGEN, TX 78550-8364
(956) 412-7503
(956) 423-0914
Mailing address
597 W SESAME DR, SUITE C, HARLINGEN, TX 78550-8364
(956) 412-7503
(956) 423-0914
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L3283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035HK
BCBS
TX
01
—
0039RA
BCBS
TX
01
—
060068750
RAILROAD MEDICARE
TX
05
—
1505398-01
—
TX
05
—
1505398-02
—
TX
05
—
1757668-01
—
TX
01
—
8AW384
BCBS
TX
Enumeration date
10/09/2007
Last updated
04/16/2008
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