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General NPI Number Information
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NPI Number | 1346418738
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Entity Type | Organization
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Legal Business Name | GARCIA HEART CENTER PLLC
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 1111 W FRANK AVE STE 202
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City | LUFKIN
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State | TX
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Zip | 75904-3308
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Country | US
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Telephone | 936-631-3046
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Fax | 936-631-3050
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Provider Business Mailing Address
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Address Line | 1111 W FRANK AVE STE 202
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City | LUFKIN
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State | TX
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Zip | 75904-3308
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Country | US
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Telephone | 936-631-3046
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Fax | 936-631-3050
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Authorized Official
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Title or Position | PHYSICIAN BILLER
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Name | DENISE BROCK
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Credential |
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Telephone | 936-631-3046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G5076
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License Number State | TX
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