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General NPI Number Information
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NPI Number | 1114097565
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY SPECIALISTS OF HOUSTON
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 6624 FANNIN ST SUITE 1420
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City | HOUSTON
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State | TX
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Zip | 77030-2312
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Country | US
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Telephone | 713-797-1620
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Fax | 713-797-1543
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Provider Business Mailing Address
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Address Line | 6624 FANNIN ST SUITE 1420
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City | HOUSTON
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State | TX
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Zip | 77030-2312
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Country | US
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Telephone | 713-797-1620
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Fax | 713-797-1543
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BERNARDO TREISTMAN
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Credential | M.D.
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Telephone | 713-797-1620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MDD8915
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MDF3420
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L7868
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MDJ2112
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MDK4957
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License Number State | TX
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