Cardio Wellcare LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

J3883 Issued in TX

Legal business name

CARDIO WELLCARE LLC

Practice address

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

Phone

(254) 526-9766

Fax

(254) 634-7700

NPI assigned

Aug 18, 2016

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

Owner

Phone

(254) 526-9766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1770038846",
    "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": "254-634-7700"
        },
        {
            "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": "254-634-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO WELLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "REBECCA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• John A Canyon, O.D.
• Kimberly Krista Caperton, M.D.
• Kristen Capote, LCSW
• Capstone Healthcare. LLC
• Emily Caraballo
• Cardiovascular Consultants Central Texas PLLC
• Cardiovascular Specialists of Texas, P.a.
• Raven M Cardona
• Care Shuttle Services LLC
• Rebecca Carey

• 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 Aug 18, 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.