MEDICARE: METROPOLITAN CARDIOLOGY P A

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
1	207RI0011X	Interventional Cardiology Physician	M4901	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1225194129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN CARDIOLOGY P A

Provider Business Mailing Address
First Line	:	PO BOX 12600
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77726-2600
Country	:	US
Telephone Number	:	409-832-6200
Fax Number	:	409-832-6216

Provider Business Practice Location Address
First Line	:	740 HOSPITAL DR STE 200
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701-4663
Country	:	US
Telephone Number	:	409-832-6200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHIMA CHRISTIAN NWAUKWA
Credential	:	M.D.
Telephone Number	:	409-935-4003

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	09/14/2020

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