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General NPI Number Information
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NPI Number | 1932354479
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Entity Type | Organization
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Legal Business Name | TEXAS CARDIOVASCULAR CONSULTANTS, PA
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 1015 E 32ND ST SUITE 508
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City | AUSTIN
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State | TX
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Zip | 78705-2707
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Country | US
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Telephone | 512-617-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 RIATA PARK CT BLDG D
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City | AUSTIN
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State | TX
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Zip | 78727-3437
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Country | US
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Telephone | 512-615-6210
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, BUSINESS SERVICES
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Name | KRISTIE A FOSTER
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Credential |
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Telephone | 512-615-6210
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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 |
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