MEDICARE: TEXAS CARDIAC ARRHYTHMIA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician
3	207RC0001X	Clinical Cardiac Electrophysiology Physician

General Provider Information

NPI Number	:	1134429814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS CARDIAC ARRHYTHMIA PLLC

Provider Business Mailing Address
First Line	:	3000 N IH 35
Second Line	:	SUITE 700
City	:	AUSTIN
State	:	TX
Zip	:	78705-1804
Country	:	US
Telephone Number	:	512-615-6218
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 E CALTON RD
Second Line	:	SUITE A
City	:	LAREDO
State	:	TX
Zip	:	78041-3988
Country	:	US
Telephone Number	:	956-728-8255
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR BUSINESS SERVICES
Name	:	MARY L TYPHAIR
Credential	:
Telephone Number	:	512-615-6218

Provider Enumeration Date	:	10/27/2010
Last Update Date	:	12/16/2010

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