Organization
LONE STAR HEART AND VASCULAR CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHUL BOSE MD (PRESIDENT/PHYSICIAN)
(830) 837-5705
Entity
Organization
Contact information
Practice address
479 OXFORD DR STE 104, NEW BRAUNFELS, TX 78130-5479
(830) 214-0300
Mailing address
479 OXFORD DR STE 104, NEW BRAUNFELS, TX 78130-7423
(830) 214-0300
(830) 214-0397
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8550
MEDICAL LICENSE
TX
Enumeration date
08/18/2020
Last updated
07/28/2023
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