Organization
NACOGDOCHES CARDIOVASCULAR ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANMUGAM UTHAMALINGAM M.D. (OWNER)
(936) 305-5165
Entity
Organization
Contact information
Practice address
1004 N MOUND ST, NACOGDOCHES, TX 75961-4437
(936) 305-5165
(936) 238-7654
Mailing address
1004 N MOUND ST, NACOGDOCHES, TX 75961-4437
(936) 305-5165
(936) 238-7654
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
04/08/2016
Last updated
07/16/2016
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