Organization
CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHUTICH (DIRECTOR OF BUSINESS SERVICES)
(512) 615-6224
Entity
Organization
Contact information
Practice address
315 GOLDER AVE, SUITE B, ODESSA, TX 79761-5043
(512) 807-3160
Mailing address
7215 WYOMING SPGS, BUILDING 1, SUITE 100, ROUND ROCK, TX 78681-4312
(512) 807-3160
(512) 494-1990
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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