Organization
HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA
Active
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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