| Nacogdoches Cardiac Imaging Center Pllc | |
|
1023 N Mound St Suite L Nacogdoches TX 75961-4491 | |
| (936) 564-2637 | |
| Not Available |
| Full Name | Nacogdoches Cardiac Imaging Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1023 N Mound St, Nacogdoches, Texas |
| Authorized Official Name and Position | Vijaya R Pokala, M.d., F.a.c.c. (PRESIDENT) |
| Authorized Official Contact | 9365642637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nacogdoches Cardiac Imaging Center Pllc 1023 N Mound St Suite L Nacogdoches TX 75961-4491 Ph: (936) 564-2637 | Nacogdoches Cardiac Imaging Center Pllc 1023 N Mound St Suite L Nacogdoches TX 75961-4491 Ph: (936) 564-2637 |
| NPI Number | 1386765485 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 01/04/2008 |
| Medicare PECOS PAC ID | 0547270886 |
|---|---|
| Medicare Enrollment ID | O20071025000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386765485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R51043 (Texas) | Primary |
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