CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A. (NPI# 1073741740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073741740 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A. |
| Practice Address |
102 N, Magdalene San Angelo TX 76903-5400 |
| Mailing Address |
5301 Riata Park Court Bldg. D, Ste. 200 Austin TX 78727-3438 |
| Practice Telephone | 5126176000 |
| Mailing Telephone | 5126156224 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |
| Authorized Official Name | MARK CHUTICH (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 5126156224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366775942 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 4316 James Casey, Building C, Austin, TX 78745-1157 | 2009-09-14 |
| 1003149683 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 204 County Rd. 340a, Bldg. 2, Ste. 1, Burnet, TX 78611-4537 | 2009-09-14 |
| 1649503236 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 2555 Western Trls. Blvd., Ste. 102, Austin, TX 78745-1574 | 2009-09-14 |
| 1336377019 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 7125 Sanger, Waco, TX 76712 | 2009-07-01 |
| 1346478013 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 605 E. 4th St., Suite 200, Odessa, TX 79761-5100 | 2009-07-01 |
| 1467680132 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 10710 Mcpherson, Suite 105, Laredo, TX 78045-6271 | 2009-07-01 |
| 1003044777 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 702 E. Calton Rd., Suite A, Laredo, TX 78041-3988 | 2009-07-01 |
| 1144458829 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 6901 Medical Pkwy., 1st Floor, Waco, TX 76712-7910 | 2009-07-01 |
| 1942438619 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 2207 S. Clear Creek Road, Suite 205, Killeen, TX 76549-4132 | 2009-07-01 |
| 1700014586 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 1202 Third St., Corpus Christi, TX 78408-2314 | 2009-06-30 |
| Street Address |
102 N, MAGDALENE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386653632 | Cardiology Associates of West Texas | Internal Medicine | 3180 Executive Dr Ste 102, San Angelo, TX 76904-6837 | 2006-08-05 |
| 1932139953 | Michael Scott Blanc | Internal Medicine | 3350 Executive Dr, Suite 100, San Angelo, TX 76904-6878 | 2006-07-04 |
| 1558328690 | Miltiadis Leon | Internal Medicine | 3180 Executive Drive, Suite 102, San Angelo, TX 76904-7610 | 2006-05-01 |
| 1134788508 | San Angelo Cardiovascular Center of Excellence, Pllc | Internal Medicine | 3180 Executive Dr Ste 102, San Angelo, TX 76904-6837 | 2019-06-10 |
| 1134321532 | Texas Cardiovascular Consultants-san Angelo, Pa | Internal Medicine | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2007-06-05 |
| 1740363761 | Gregson O Oghafua | Internal Medicine | 3180 Executive Dr, Ste 102, San Angelo, TX 76904-6837 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.