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Contact Information

CARDIOVASCULAR SPECIALIST , P.C.
1211 UNION AVE
MEMPHIS, TN38104-6643
 Phone: 901-722-0340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for CARDIOVASCULAR SPECIALIST , P.C.

NPI # 1730142795
LBN Legal business name CARDIOVASCULAR SPECIALIST , P.C.
Authorized official FRANK MARTIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TN License # D32091
TN Medicaid 3849165
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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