TEXAS CARDIOVASCULAR CONSULTANTS-SAN ANGELO, PA (NPI# 1134321532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134321532 |
| Entity Type | Organization |
| Organization Name | TEXAS CARDIOVASCULAR CONSULTANTS-SAN ANGELO, PA |
| Practice Address |
102 N Magdalen St San Angelo TX 76903-5400 |
| Mailing Address |
42 East Ave Austin TX 78701-4317 |
| Practice Telephone | 8005304143 |
| Mailing Telephone | 5124411633 |
| Mailing Fax Number | 5126150459 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-08-09 |
| Authorized Official Name | DR. JOHN A. DIECK JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5124411633 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
102 N MAGDALEN ST |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889431 | Regional Cancer Treatment Center Ltd | Clinic/Center | 102 N Magdalen St, Suite 120, San Angelo, TX 76903-5400 | 2005-08-30 |
| 1417569583 | Margaret M. Nunez | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2020-08-20 |
| 1265082788 | Kristin Ashley Debusk | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2019-09-17 |
| 1164075057 | Laci J. Martin | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2019-07-19 |
| 1124688288 | Roy Rios Rodriguez | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2019-06-19 |
| 1528623659 | Amy Dianne Harris | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2019-05-03 |
| 1811491293 | Alex E Robles | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2018-03-21 |
| 1871004358 | Shannon Lee Campbell | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2017-10-23 |
| 1487164232 | Frances Ann Sewell | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2017-10-06 |
| 1306376827 | Jamie Prieto | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2017-06-18 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073741740 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 102 N, Magdalene, San Angelo, TX 76903-5400 | 2009-07-01 |
| 1467920835 | Curewell Diagnostic Services LLC | Internal Medicine | 202 W Twohig Ave Ste 203, San Angelo, TX 76903-6430 | 2018-11-05 |
| 1750539193 | Texas Cardiovascular Consultants, Pa | Internal Medicine | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2008-08-27 |
| 1518125962 | Asad Pathan | Internal Medicine | 3180 Executive Dr Ste 102, San Angelo, TX 76904 | 2008-06-01 |
| 1184747206 | Samia Benslimane Geevarghese | Internal Medicine | 102 N Magdalen St, San Angelo, TX 76903 | 2007-04-06 |
| 1922065002 | James E Neill | Internal Medicine | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2006-05-01 |
| 1093772618 | David L Ivans | Internal Medicine | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2006-04-27 |
| 1174514475 | David B Harvey | Internal Medicine | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2005-11-04 |
| 1538150859 | Gene A. Sherrod | Internal Medicine | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433455 | Chalkias Cardiology Pllc | Internal Medicine | 11671 Jollyville Rd Ste 120, Austin, TX 78759-4141 | 2020-10-01 |
| 1992318992 | Us Televero Health Pa | Internal Medicine | 1204 Rockcliff Rd, Austin, TX 78746-1604 | 2020-08-28 |
| 1245856087 | Texas Heart Medical Group | Internal Medicine | 6770 Bertner Avenue, Houston, TX 77030-2604 | 2020-06-17 |
| 1043831753 | Shawn Sommerlad Pllc | Internal Medicine | 322 Robin Way, Richardson, TX 75080-2522 | 2020-05-04 |
| 1295354611 | Cardiocentric | Internal Medicine | 1401 Seminole Dr, Richardson, TX 75080-3738 | 2020-04-15 |
| 1134750995 | Specialized Heart Care, Pllc. | Internal Medicine | 7200 N Highway 161 Ste 205, Irving, TX 75039-4132 | 2020-01-30 |
| 1114578978 | Amir Azeem, Md, Pa | Internal Medicine | 5306 Clouds Creek Ln, Sugar Land, TX 77479-4940 | 2019-09-24 |
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1124677042 | Kirk M Lipscomb | Internal Medicine | 2902 Canyon Creek Dr, Richardson, TX 75080-1503 | 2019-09-04 |
| 1790333516 | C Care Cardiovascular Center | Internal Medicine | 1445 Bessemer Dr Ste E, El Paso, TX 79936-5909 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
Please comment or provide details below to improve the information on TEXAS CARDIOVASCULAR CONSULTANTS-SAN ANGELO, PA.
| 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.