Provider Demographics
NPI:1982874566
Name:CARDIOVASCULAR RESEARCH ASSOCIATES PA
Entity Type:Organization
Organization Name:CARDIOVASCULAR RESEARCH ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DLABAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-454-3333
Mailing Address - Street 1:PO BOX 163237
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78716-3237
Mailing Address - Country:US
Mailing Address - Phone:512-454-3333
Mailing Address - Fax:512-454-3340
Practice Address - Street 1:901 W 38TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1163
Practice Address - Country:US
Practice Address - Phone:512-454-3333
Practice Address - Fax:512-454-3340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2223207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX08RDOtherBCBS GROUP #
TX00Z175Medicare PIN