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General NPI Number Information
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NPI Number | 1376503821
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Entity Type | Organization
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Legal Business Name | TEXAS CARDIOTHORACIC SURGERY ASSOCIATES, P.A.
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 221 W COLORADO BLVD SUITE 825
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 214-942-5222
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Fax | 214-942-9366
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Provider Business Mailing Address
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Address Line | PO BOX 260072
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City | PLANO
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State | TX
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Zip | 75026-0072
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Country | US
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Telephone | 972-437-2577
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Fax | 972-805-2565
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN L. JAY
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Credential | M.D.
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Telephone | 214-942-5222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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