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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