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CARDIOLOGY CONSULTANTS OF EAST TEXAS PA NPI 1316155807


NPI Information

NPI: 1316155807
Provider Name: CARDIOLOGY CONSULTANTS OF EAST TEXAS PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2015 MULBERRY AVE
SUITE 310
MT PLEASANT, TX
ZIP 75455
Phone: (903) 577-7070
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CARDIOLOGY CONSULTANTS OF EAST TEXAS PA is a cardiovascular disease internal medicine in Mt Pleasant, TX. The provider is 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. CARDIOLOGY CONSULTANTS OF EAST TEXAS PA NPI is 1316155807. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2015 MULBERRY AVE
SUITE 310
MT PLEASANT, TX
ZIP 75455-312
Phone: (903) 577-7070
Fax: (903) 577-7072

The provider's authorized official is Milan Sekulic .
The authorized official title is President and has the following contact phone number (903) 577-7070.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 12/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA04780TEXASNo
2207RC0000XInternal MedicineCardiovascular DiseaseM2087TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I39526MEDICARE UPINTEXAS
21766404-01MEDICAIDTEXAS
38F5915MEDICARE PINTEXAS
41265464564OTHERTEXASINDIVIDUAL NPI
5TXB157920OTHERTEXASMEDICARE PTAN FOR PA
61104879915OTHERTEXASINDIVIDUAL NPI FOR PA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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