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Organization

COUNTY OF WARD

Active
Other names
Ward Memorial Hospital Cardiology Group
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LETICIA RODRIGUEZ (CEO)
(432) 943-2511
Entity
Organization

Contact information

Practice address
406 S GARY AVE, MONAHANS, TX 79756-4799
(432) 943-2511
(432) 943-6833
Mailing address
PO BOX 40, MONAHANS, TX 79756-0040
(432) 943-2511
(432) 943-6833

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
468
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00QF28
BLUE CROSS BLUE SHIELD
TX
05
136331902
TX
Enumeration date
10/10/2006
Last updated
01/28/2014
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