Kps Cardiovascular Surgery Pa in Shenandoah - Surgical

Kps Cardiovascular Surgery Pa - NPI 1467543835

Kps Cardiovascular Surgery Pa is a Surgical in Shenandoah, Texas. Kps Cardiovascular Surgery Pa practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kps Cardiovascular Surgery Pa is 1467543835. The last update date is 2015-09-29.

Kps Cardiovascular Surgery Pa's current location address is 118 Shenandoah Dr, Shenandoah, Texas. You can contact this provider via phone number 2815834000 and fax number 2815805079. The mailing address for Kps Cardiovascular Surgery Pa is 118 Shenandoah Dr, Shenandoah, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kps Cardiovascular Surgery Pa
Address 118 Shenandoah Dr, Shenandoah, Texas
Phone Number 2815834000
Fax Number 2815805079
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kitten Clifford
Credentials M.D.
Telephone Number 2815834000

NPI Number Detail

NPI Number 1467543835
Provider Enumeration Date 2006-09-28
Last Updated Date 2015-09-29

Provider Mailing Address Detail

Address 118 Shenandoah Dr
City Shenandoah
State Texas (TX)
Post Code 773811204
Phone Number 2815834000
Fax Number 2815805079

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
95021403 TX --

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FAQs about Kps Cardiovascular Surgery Pa

What is the unique 10-digit identification code assigned to Kps Cardiovascular Surgery Pa by the Centers for Medicare & Medicaid Services?

The Kps Cardiovascular Surgery Pa has been issued the NPI (National Provider Identifier) 1467543835, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kps Cardiovascular Surgery Pa?

The Kps Cardiovascular Surgery Pa is physically situated at 118 Shenandoah Dr, in the city of Shenandoah, state of TX, with the postal code 773811204.

What is Kps Cardiovascular Surgery Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kps Cardiovascular Surgery Pa is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.

On what date did the Kps Cardiovascular Surgery Pa receive its 1467543835 assignment from the Centers for Medicare & Medicaid Services?

The Kps Cardiovascular Surgery Pa was assigned its 1467543835 by the Centers for Medicare & Medicaid Services on 2006-09-28.

When was the Kps Cardiovascular Surgery Pa's information last updated?

The Kps Cardiovascular Surgery Pa's information was last updated on 2015-09-29.

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