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NPI Code Detail

MEDICARE: SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP

MEDICARE: SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164455671
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP
Provider Business Mailing Address
First Line : PO BOX 7410
Second Line :
City : BEAUMONT
State : TX
Zip : 77726-7410
Country : US
Telephone Number : 409-832-8862
Fax Number : 409-832-1664
Provider Business Practice Location Address
First Line : 2693 NORTH ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77702-1624
Country : US
Telephone Number : 409-832-8862
Fax Number : 409-835-5132
Authorized Official
Title or Position : OFFICE MANAGER
Name : AMBER FLYNN
Credential :
Telephone Number : 409-554-4928
Provider Enumeration Date : 07/08/2006
Last Update Date : 06/13/2024

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Directions to “SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP ” Practice Location

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