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Organization

CARDIAC CATH LAB OF MID CITIES, LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY MARIE BEMIS (AUTHORIZED OFFICIAL)
(858) 504-5667
Entity
Organization

Contact information

Practice address
1305 AIRPORT FWY STE 121, BEDFORD, TX 76021-6603
(682) 305-1112
(682) 305-1121
Mailing address
DEPT# 3028, PO BOX 4417, HOUSTON, TX 77210-4417
(610) 644-8900
(484) 924-0053

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/16/2016
Last updated
11/09/2023
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