Organization
SOUTHWESTERN CARDIOVASCULAR SURGICAL ASSOCIATES
Active
Other names
Lubbock Heart Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT SMITH (PRACTICE MANAGER)
(806) 792-8185
Entity
Organization
Contact information
Practice address
4408 6TH ST, LUBBOCK, TX 79416-4732
(806) 792-8185
(806) 792-9180
Mailing address
4408 6TH ST, LUBBOCK, TX 79416-4732
(806) 792-8185
(806) 792-9180
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FM38
BLUE CROSS BLUE SHIELD
—
05
—
094904202
—
TX
Enumeration date
01/05/2007
Last updated
10/10/2008
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