Organization
CORPORATE CARDIAC CONSULTANTS LLC
Active
Other names
Speedway EMS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE GENZEL M.D. (CHIEF EXECUTIVE OFFICER)
(817) 421-2580
Entity
Organization
Contact information
Practice address
1305 BENT CREEK DR, SOUTHLAKE, TX 76092-9433
(817) 421-2580
Mailing address
1305 BENT CREEK DR, SOUTHLAKE, TX 76092-9433
(817) 421-2580
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000125
TX
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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