MEDICARE: TEXAS CENTER FOR PREVENTIVE CARDIOLOGY PLLC

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	P1618	TX

General Provider Information

NPI Number	:	1558852764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS CENTER FOR PREVENTIVE CARDIOLOGY PLLC

Provider Business Mailing Address
First Line	:	4314 MEDICAL PKWY STE 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-3332
Country	:	US
Telephone Number	:	512-514-1321
Fax Number	:

Provider Business Practice Location Address
First Line	:	4314 MEDICAL PKWY STE 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-3332
Country	:	US
Telephone Number	:	512-514-1321
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MOJGAN ARASHVAND
Credential	:	DO
Telephone Number	:	512-514-1321

Provider Enumeration Date	:	05/23/2018
Last Update Date	:	05/23/2018

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