CARDIAC CIN OF WEST TEXAS LLC (NPI# 1487162368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487162368 |
| Entity Type | Organization |
| Organization Name | CARDIAC CIN OF WEST TEXAS LLC |
| Practice Address |
18911c Hardy Oak Blvd San Antonio TX 78258-4966 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
TX | Allopathic & Osteopathic Physicians | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
TX | Allopathic & Osteopathic Physicians |
| Street Address |
18911C HARDY OAK BLVD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| 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 |
|---|---|---|---|---|
| 1184098279 | Heart Endovascular and Rhythm of Texas, Pa | Internal Medicine | 1202 E Sonterra Blvd Ste 604, San Antonio, TX 78258-4093 | 2015-11-30 |
| 1780058040 | Advanced Cardiac Imaging Solutions, Pllc | Internal Medicine | 13423 Blanco Road #437, San Antonio, TX 78216 | 2015-11-23 |
| 1215329602 | Ricardo A Garza Md Pllc | Internal Medicine | 6800 W Ih 10 West, Suite 110, San Antonio, TX 78201-2039 | 2015-02-23 |
| 1003205873 | Heart and Rhythm Institute of South Texas, Pa | Internal Medicine | 8122 Datapoint Dr Ste 120, San Antonio, TX 78229-3264 | 2015-01-16 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1326342015 | B.s.athreya,m.d.,p.a.& Associates | Internal Medicine | 215 E Quincy St Ste 430, San Antonio, TX 78215-2034 | 2011-01-10 |
| 1093034654 | South Texas Cardiology Institute, Pllc | Internal Medicine | 6800 Ih 10 W Ste 200, San Antonio, TX 78201-2041 | 2010-05-21 |
| 1164604294 | Chun Wang Tan Md Pa | Internal Medicine | 323 W Mulberry Ave, San Antonio, TX 78212-3236 | 2007-11-30 |
| 1851573844 | Rushit R. Kanakia | Internal Medicine | 1715 Mccullough Ave Fl 2, San Antonio, TX 78212-4046 | 2007-11-30 |
| 1336337880 | R. Stefan Kiesz M.d. P.a. | Internal Medicine | 18615 Tuscan Stone, Suite 170, San Antonio, TX 78258-3498 | 2007-10-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on CARDIAC CIN OF WEST TEXAS LLC.
| 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.