Organization
METRO NORTH CARDIOVASCULAR ASSOCIATES, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY SUE GAROUTTE (ADMINISTRATOR)
(210) 654-6000
Entity
Organization
Contact information
Practice address
1003 NE LOOP 410, SAN ANTONIO, TX 78209-1205
(210) 654-6000
(210) 654-6014
Mailing address
1003 NE LOOP 410, SAN ANTONIO, TX 78209-1205
(210) 654-6000
(210) 654-6014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H9639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085790602
—
TX
01
—
83Z820
BCBS
TX
01
—
CC8198
MEDICARE RAILROAD
TX
Enumeration date
07/19/2007
Last updated
12/18/2014
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