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General NPI Number Information
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NPI Number | 1780771477
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Entity Type | Organization
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Legal Business Name | ADULT CARDIOVASCULAR CONSULTANTS, PA
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7434 LOUIS PASTEUR DR SUITE 209
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4538
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Country | US
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Telephone | 210-949-0304
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Fax | 210-949-0310
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Provider Business Mailing Address
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Address Line | 7434 LOUIS PASTEUR DR SUITE 209
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4538
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Country | US
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Telephone | 210-949-0304
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Fax | 210-949-0310
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. MARK L. CANALES
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Credential | M.D.
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Telephone | 210-949-0304
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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 |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State | TX
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