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Organization

CARDIOVASCULAR ON CALL SPECIALISTS INC

Active
Other names
CVS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MORTON JEFFERSON GRAHAM III RCIS RDCS RVT (PRESIDENT AND CEO)
(214) 363-6611
Entity
Organization

Contact information

Practice address
808 STONE TRAIL DR, PLANO, TX 75023-7108
(214) 363-6611
(214) 363-6851
Mailing address
PO BOX 863722, PLANO, TX 75086-3722
(214) 363-6611
(214) 363-6851

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0092KY
BCBS
TX
05
088010601
TX
Enumeration date
01/30/2007
Last updated
06/15/2011
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