| Cardiac And Vascular Center, P.c. | |
|
2704 N Galloway Ave Suite 103 Mesquite TX 75150-6378 | |
| (972) 279-3500 | |
| (972) 279-3505 |
| Full Name | Cardiac And Vascular Center, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2704 N Galloway Ave, Mesquite, Texas |
| Authorized Official Name and Position | Mahmood Ali (PRESIDENT) |
| Authorized Official Contact | 9722793500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiac And Vascular Center, P.c. 2704 N Galloway Ave Suite 103 Mesquite TX 75150-6378 Ph: (972) 279-3500 | Cardiac And Vascular Center, P.c. 2704 N Galloway Ave Suite 103 Mesquite TX 75150-6378 Ph: (972) 279-3500 |
| NPI Number | 1548423403 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 08/22/2008 |
| Medicare PECOS PAC ID | 5193892925 |
|---|---|
| Medicare Enrollment ID | O20080922000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548423403 | NPI | - | NPPES |
| K4351 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahmood Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861432320 PECOS PAC ID: 4587615620 Enrollment ID: I20081030000740 |
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