Provider Demographics
NPI:1952457103
Name:TEXAS PERFUSION ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:TEXAS PERFUSION ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BACCARI
Authorized Official - Suffix:
Authorized Official - Credentials:CCP, SA-C
Authorized Official - Phone:210-614-8101
Mailing Address - Street 1:3463 MAGIC DR
Mailing Address - Street 2:SUITE T21
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2973
Mailing Address - Country:US
Mailing Address - Phone:210-614-8101
Mailing Address - Fax:210-614-8102
Practice Address - Street 1:3463 MAGIC DRIVE
Practice Address - Street 2:SUITE T21
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-614-8101
Practice Address - Fax:210-614-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-28
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Single Specialty