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Organization

CARDIOVASCULAR SPECIALISTS OF TEXAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK N, CHUTICH (DIRECTOR OF BUSINESS SERVICES)
(512) 615-6224
Entity
Organization

Contact information

Practice address
12501 LONGHORN PKWY, AUSTIN, TX 78732-1267
(512) 266-5600
(512) 266-5601
Mailing address
7215 WYOMING SPGS, BLDG. 1 STE. 100, ROUND ROCK, TX 78681-4312
(512) 807-3180

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
Primary
207RI0011X
Interventional Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204444801
TX
Enumeration date
03/01/2011
Last updated
03/01/2011
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