Organization
SHROFF CARDIOLOGY & INTERNAL MEDICINE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH H SHROFF M.D. (PHYSICIAN)
(432) 267-9805
Entity
Organization
Contact information
Practice address
1501 W 11TH PL STE 301, #301, BIG SPRING, TX 79720-4121
(432) 267-9805
(432) 264-7542
Mailing address
PO BOX 150, BIG SPRING, TX 79721-0150
(432) 267-9805
(432) 264-7542
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H5063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216395801
—
TX
Enumeration date
01/19/2010
Last updated
05/27/2014
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