ST DAVIDS HEART & VASCULAR PLLC NPI 1700887700

NPI Information

ST DAVIDS HEART & VASCULAR, PLLC is a cardiovascular disease internal medicine in Austin, 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. ST DAVIDS HEART & VASCULAR, PLLC NPI is 1700887700. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Austin Heart, Pllc.

The provider's business location address is:

3801 N LAMAR BLVD
STE 300
AUSTIN, TX
ZIP 78756-080
Phone: (512) 206-3600
Fax: (512) 454-2581

The provider's authorized official is Steve Gornik .
The authorized official title is Ceo and has the following contact phone number (512) 206-4367.

The CLIA number assigned to this NPI record is 45D0956290 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 10/29/2015.

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:

Other Identifiers

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