Organization
HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA
Active
Other names
Big Country Vein Relief
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN WEST (COO)
(325) 643-3300
Entity
Organization
Contact information
Practice address
4716 S 14TH ST, ABILENE, TX 79605-4733
(325) 795-1200
(325) 795-1202
Mailing address
PO BOX 520, BROWNWOOD, TX 76804-0520
(325) 643-3300
(325) 641-8714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R82T
BCBS
TX
05
—
084917601
—
TX
Enumeration date
05/29/2009
Last updated
05/29/2009
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