Organization
CARDIOMETABOLIC CLINIC & RESEARCH CENTER
Active
Other names
Heart & Hormal Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASUDEVAN A RAGHAVAN MBBS, MD, MRCP(UK) (CHIEF EXECUTIVE OFFICER)
(512) 568-6635
Entity
Organization
Contact information
Practice address
11620 MEDALLION LN, AUSTIN, TX 78750-2630
(512) 297-2611
Mailing address
115 SUNDANCE PKWY, SUITE 424, ROUND ROCK, TX 78681-7914
(512) 568-6635
(509) 694-1312
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M2490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2707726
—
TX
Enumeration date
03/16/2015
Last updated
03/16/2015
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