ABILENE CARDIOVASCULAR SURGERY P.A. NPI 1215057310

NPI Information

  • NPI: 1215057310
  • Provider Name: ABILENE CARDIOVASCULAR SURGERY, P.A.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 45D1030271
  • Address: 1680 ANTILLEY RD STE 260
    ABILENE, TX
    ZIP 79606
  • Phone: (325) 691-5590

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NPI Details

ABILENE CARDIOVASCULAR SURGERY, P.A. is a specialist in Abilene, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ABILENE CARDIOVASCULAR SURGERY, P.A. NPI is 1215057310. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1680 ANTILLEY RD STE 260
ABILENE, TX
ZIP 79606-247
Phone: (325) 691-5590
Fax: (325) 691-1231

The provider's authorized official is Scott Harrison Crocker .
The authorized official title is President and has the following contact phone number (325) 691-5590.

The CLIA number assigned to this NPI record is 45D1030271 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.

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
1174400000XSpecialistYes

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: 3/30/2025

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