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NPI Code Detail

MEDICARE: CARDIOVASCULAR ASSOCIATES OF EAST TEXAS PA

MEDICARE: CARDIOVASCULAR ASSOCIATES OF EAST TEXAS 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
1207RC0001XClinical Cardiac Electrophysiology Physician
2207RI0011XInterventional Cardiology Physician
3207RC0000XCardiovascular Disease Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CS6546OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
300G58POTHERTXBCBS

General Provider Information

NPI Number : 1447212303
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR ASSOCIATES OF EAST TEXAS PA
Provider Business Mailing Address
First Line : 1783 TROUP HWY
Second Line :
City : TYLER
State : TX
Zip : 75701-5869
Country : US
Telephone Number : 903-595-2283
Fax Number : 903-595-1063
Provider Business Practice Location Address
First Line : 1783 TROUP HWY
Second Line :
City : TYLER
State : TX
Zip : 75701-5869
Country : US
Telephone Number : 903-595-2283
Fax Number : 903-595-1063
Authorized Official
Title or Position : SUPPORT SUPERVISOR
Name : MRS. DEBBIE KIRKPATRICK
Credential :
Telephone Number : 903-595-2283
Provider Enumeration Date : 04/05/2006
Last Update Date : 10/20/2022

Similar Medicare Providers

1326038159 — SCOTT M LIEBERMAN MD
Practice Location Address:
1783 TROUP HWY
TYLER, TX
75701-5869
Practice Phone: 903-595-2283
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1396735122 — CARL NOAH ISRAEL MD
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1548250392 — HECTOR D CECCOLI MD
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75701-5869
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Practice Fax: 903-595-1063
1649260373 — JEFFREY G CARR MD
Practice Location Address:
1783 TROUP HWY
TYLER, TX
75701-5869
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Practice Fax: 903-595-1063
1255321980 — SHERIF S ISKANDER MD
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75701-5869
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1043200785 — SCOTT A WRIGHT MD
Practice Location Address:
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TYLER, TX
75701-5869
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Practice Fax: 903-595-1063

Directions to “CARDIOVASCULAR ASSOCIATES OF EAST TEXAS PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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