Cardiovascular Associates Northwest PLLC
Internal Medicine, Cardiovascular Disease in Austin, TX. Organization (NPI-2).
NPI number1104139575
StatusActive
Last updated in NPPESMar 1, 2011
Details
- NPI
- 1104139575
- Entity type
- Organization (NPI-2)
- Legal business name
- Cardiovascular Associates Northwest PLLC
- Organization subpart
- No
- Enumeration date
- Jul 14, 2010
- Last updated
- Mar 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 207UN0901X | Nuclear Medicine, Nuclear Cardiology | – | – |
Practice location
11111 Research BlvdSuite 360
Austin, TX 78759-5264
Phone 512-617-1916 · Fax 512-617-1917
Mailing address
11111 Research BlvdSuite 360
Austin, TX 78759-5264
Phone 512-617-1916 · Fax 512-617-1917
Authorized official
Fotini M Chalkias
President/Owner
5126171916
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