Cardiovascular Consultants Central Texas PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

J3883 Issued in TX

Legal business name

CARDIOVASCULAR CONSULTANTS CENTRAL TEXAS PLLC

Practice address

4200 W Stan Schlueter Loop BLDG C
Killeen, TX 76549-5724

Phone

(254) 526-9766

Fax

(254) 637-7700

NPI assigned

Apr 28, 2015

Last updated

Dec 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George S Rebecca, MD

Title

Sole Member

Phone

(254) 526-9766

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1356728455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W STAN SCHLUETER LOOP BLDG C",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495724",
            "telephone_number": "254-526-9766",
            "fax_number": "254-637-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W STAN SCHLUETER LOOP BLDG C",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495724",
            "telephone_number": "254-526-9766",
            "fax_number": "254-637-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS CENTRAL TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "REBECCA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "254-526-9766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J3883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034410301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Krista Caperton, M.D.
• Kristen Capote, LCSW
• Capstone Healthcare. LLC
• Emily Caraballo
• Cardio Wellcare LLC
• Cardiovascular Specialists of Texas, P.a.
• Raven M Cardona
• Care Shuttle Services LLC
• Rebecca Carey
• Heather Cariker, APRN PMHNP-BC

• Cardiovascular Disease Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.