Provider Demographics
NPI:1780851915
Name:CARDIOVASCULAR SPECIALTY ASSOCIATES OF NORTH TEXAS, P.A.
Entity Type:Organization
Organization Name:CARDIOVASCULAR SPECIALTY ASSOCIATES OF NORTH TEXAS, P.A.
Other - Org Name:CSANT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-550-9195
Mailing Address - Street 1:1320 GREENWAY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2503
Mailing Address - Country:US
Mailing Address - Phone:972-550-9195
Mailing Address - Fax:972-550-0079
Practice Address - Street 1:1005 W RALPH HALL PKWY
Practice Address - Street 2:SUITE 221
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6658
Practice Address - Country:US
Practice Address - Phone:214-692-6135
Practice Address - Fax:214-692-6265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM67172086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty