Organization Active NPI

Cardiovascular Specialists of Texas, P.a.

  • Interventional Cardiology Physician
  • Bastrop, TX
National Provider Identifier
1316175235
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A.
Practice address
441 Hwy 71 West
Suite F
Bastrop, TX 78602-3931
Phone
(512) 617-6000
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Chutich
Title
Administrative Assistant
Phone
(512) 615-6224

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Interventional Cardiology Physician 207RI0011X NU Primary
Nuclear Cardiology Physician 207UN0901X NU

Addresses

Primary practice location

441 Hwy 71 West
Suite F
Bastrop, TX 78602-3931

Mailing address

5301 Riata Park Court
BLDG. D, Ste. 200
Austin, TX 78727-3438
Phone (512) 617-6000

National Provider Directory

National Provider Directory

Locations

441 Highway 71 W
Ste F
Bastrop, TX 78602

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1316175235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 RIATA PARK COURT",
            "address_2": "BLDG. D, STE. 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273438",
            "telephone_number": "512-617-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 HWY 71 WEST",
            "address_2": "SUITE F",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023931",
            "telephone_number": "512-617-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "CHUTICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "512-615-6224"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.