Organization
CULLMAN HEART & URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIR KWON VARQUEZ M.D. (PRESIDENT)
(256) 775-6550
Entity
Organization
Contact information
Practice address
1801 PARKVIEW DR NE, CULLMAN, AL 35058-3618
(256) 775-6550
(256) 775-6772
Mailing address
1801 PARKVIEW DR NE, CULLMAN, AL 35058-3618
(256) 775-6550
(256) 775-6772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17814
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51007299
BLUE CROSS & BLUE SHIELD
AL
01
—
51007426
BLUE CROSS & BLUE SHIELD
AL
01
—
51029544
BLUE CROSS & BLUE SHIELD
AL
01
—
51542451
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
12/20/2006
Last updated
03/24/2008
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