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Organization

COMPLETE CARDIAC & VASCULAR CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRAL LATHIA MD (OWNER)
(682) 499-1777
Entity
Organization

Contact information

Practice address
309 REGENCY PKWY STE 205, MANSFIELD, TX 76063-7305
(682) 499-1777
(682) 499-1779
Mailing address
3503 WEYBURN DR, MANSFIELD, TX 76084-1174
(682) 499-1777

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295931145
NPI
TX
Enumeration date
09/12/2022
Last updated
10/08/2024
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