MEDICARE: NEW BEGINNING 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	207R00000X	Internal Medicine Physician	G3371	TX
2	207RC0000X	Cardiovascular Disease Physician	G3371	TX

General Provider Information

NPI Number	:	1801817366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNING CARDIOLOGY, P.A.

Provider Business Mailing Address
First Line	:	4125 MCCULLOUGH AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-1903
Country	:	US
Telephone Number	:	210-271-7266
Fax Number	:	210-226-8411

Provider Business Practice Location Address
First Line	:	4125 MCCULLOUGH AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-1903
Country	:	US
Telephone Number	:	210-271-7266
Fax Number	:	210-226-8411

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	JOHN HOWARD FRIERSON
Credential	:	M.D.
Telephone Number	:	210-271-7266

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	08/15/2011

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