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Organization

CAPITAL CARDIOVASCULAR CONSULTANTS, PLLC

Active
Other names
Capital Cardiovascular Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL JAMES DEMAIO JR. M.D. (PARTNER)
(512) 445-5998
Entity
Organization

Contact information

Practice address
1400 GEORGE DIETER DR, SUITE 100, EL PASO, TX 79936-7601
(512) 445-5998
Mailing address
4207 JAMES CASEY ST, STE 215, AUSTIN, TX 78745-3300
(512) 445-5998

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0093HZ
BCBS PROVIDER GROUP NUMBER
TX
Enumeration date
02/19/2009
Last updated
07/23/2009
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