Cardiology Consultants of East Texas PA
Organization Active NPI Cardiovascular Disease Physician · Mt Pleasant, TX
NPI 1316155807 · NPPES record last updated Dec 16, 2013
Key facts
- NPI
- 1316155807
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- M2087 (TX)
- Legal business name
- CARDIOLOGY CONSULTANTS OF EAST TEXAS PA
- Practice address
- 2015 Mulberry Ave
Suite 310
Mt Pleasant, TX 75455-2312 - Phone
- (903) 577-7070
- Fax
- (903) 577-7072
- NPI assigned
- May 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Milan Sekulic, M.D.
- Title
- President
- Phone
- (903) 577-7070
National Provider Directory
Locations
2001 N Jefferson Ave
Ste 212
Mt Pleasant, TX 75455
Phone (903) 572-7889
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | M2087 | TX | Yes |
| Physician Assistant |
363A00000X | PA04780 | TX |
Addresses
Primary practice location
2015 Mulberry Ave
Suite 310
Mt Pleasant, TX 75455-2312
Mailing address
2015 Mulberry Ave
Suite 310
Mt Pleasant, TX 75455-2312
Phone (903) 577-7070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB157920 | Other | TX | MEDICARE PTAN FOR PA |
| 1104879915 | Other | TX | INDIVIDUAL NPI FOR PA |
| 1265464564 | Other | TX | INDIVIDUAL NPI |
| 1766404-01 | Medicaid | TX |
Other providers in Mt Pleasant, TX
- Robert Edgar Bush
- Guadalupe Cabrera
- Camp-Mack Enterprises LLC
- John Campbell
- John H. Cannon III
- Carter J Moore MD PA
- Flora Jane Carter
- Toby Cason
- Cathedral Rock of Mount Pleasant
- CCD Hospice MP, LLC
All providers in Mt Pleasant, TX · Cardiovascular Disease Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.