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Organization

ROUND ROCK CARDIOLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY MOORE (DIRECTOR OF OPERATIONS)
(512) 342-0455
Entity
Organization

Contact information

Practice address
16010 PARK VALLEY DR, SUITE 200, ROUND ROCK, TX 78681-3574
(512) 244-9944
(512) 244-9977
Mailing address
PO BOX 268840, OKLAHOMA CITY, OK 73126-8840
(512) 244-9944
(512) 244-9977

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L2043
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0078GN
BCBS
01
DE3953
RR MEDICARE
Enumeration date
08/11/2006
Last updated
03/21/2008
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