Organization
CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK N CHUTICH (DIRECTOR OF BUSINESS SERVICES)
(512) 615-6224
Entity
Organization
Contact information
Practice address
2200 PARK BEND, BLDG, 2, STE. 300, AUSTIN, TX 78758-5386
(512) 807-3160
(512) 615-0459
Mailing address
7215 WYOMING SPRINGS DR., BLDG. 1, STE. 100, ROUND ROCK, TX 78681-4311
(512) 807-3180
(512) 615-0459
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
06/25/2009
Last updated
04/20/2011
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