Organization
AXIS CARDIOVASCULAR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAZ KURESHI MD, MSC (DIRECTOR)
(512) 240-5025
Entity
Organization
Contact information
Practice address
4871 WILLIAMS DR, BLDG. 1 SUITE 105, GEORGETOWN, TX 78633-2309
(407) 404-0210
Mailing address
4871 WILLIAMS DR, BLDG. 1 SUITE 105, GEORGETOWN, TX 78633-2309
(512) 240-5025
(833) 913-2545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RA0002X
Adult Congenital Heart Disease Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
Other
Enumeration date
08/19/2021
Last updated
04/20/2022
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