MEDICARE: CARDIOVASCULAR CONSULTANTS OF MCALLEN, PA

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	207RC0000X	Cardiovascular Disease Physician		TX

General Provider Information

NPI Number	:	1245450436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR CONSULTANTS OF MCALLEN, PA

Provider Business Mailing Address
First Line	:	1801 SOUTH 5TH STREET SUITE 130
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503
Country	:	US
Telephone Number	:	956-687-7863
Fax Number	:	956-687-6405

Provider Business Practice Location Address
First Line	:	1801 S 5TH ST STE 130
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-2915
Country	:	US
Telephone Number	:	956-687-7863
Fax Number	:	956-687-6405

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HECTOR URRUTIA
Credential	:	M.D.
Telephone Number	:	956-687-7863

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	08/22/2020

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