Organization
CENTRAL TEXAS CARDIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GARRIDO (OWNER)
(254) 755-8095
Entity
Organization
Contact information
Practice address
2901 WOODED ACRES DR, WACO, TX 76710-1254
(254) 755-8095
(254) 755-6319
Mailing address
2901 WOODED ACRES DR, WACO, TX 76710-1254
(254) 755-8095
(254) 755-6319
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079647601
—
TX
Enumeration date
06/02/2006
Last updated
09/12/2015
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