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NPI Code Detail

MEDICARE: CARDIOLOGY AND INTERVENTIONAL VASCULAR ASSOCIATES

MEDICARE: CARDIOLOGY AND INTERVENTIONAL VASCULAR ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistE4886TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CO1163OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376543637
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOLOGY AND INTERVENTIONAL VASCULAR ASSOCIATES
Provider Business Mailing Address
First Line : 7150 GREENVILLE AVE
Second Line : SUITE 650
City : DALLAS
State : TX
Zip : 75231-7900
Country : US
Telephone Number : 214-369-3613
Fax Number : 214-706-2019
Provider Business Practice Location Address
First Line : 7150 GREENVILLE AVE
Second Line : SUITE 650
City : DALLAS
State : TX
Zip : 75231-7900
Country : US
Telephone Number : 214-369-3613
Fax Number : 214-706-2019
Authorized Official
Title or Position : PRESIDENT/PHYSICIAN PARTNER
Name : CHARLES B LEVIN
Credential : M.D.
Telephone Number : 214-369-3613
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/30/2009

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Directions to “CARDIOLOGY AND INTERVENTIONAL VASCULAR ASSOCIATES ” Practice Location

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