Organization
TEXAS CARDIOVASCULAR CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY TYPHAIR (DIRECTOR, BUSINESS SERVICES)
(512) 615-6218
Entity
Organization
Contact information
Practice address
5301 RIATA PARK CT, BLDG D, SUITE 200, AUSTIN, TX 78727-3438
(512) 617-6000
(512) 615-0459
Mailing address
5301 RIATA PARK CT, BLDG D, SUITE 200, AUSTIN, TX 78727-3438
(512) 617-6000
(512) 615-0459
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
TX
207RI0011X
Interventional Cardiology Physician
—
TX
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083432702
—
TX
05
—
153163402
—
TX
Enumeration date
06/29/2006
Last updated
03/23/2009
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