Basic Information
| Provider Information | |||||||||
| NPI: | 1689830218 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARRHYTHMIA CONSULTANTS OF SOUTH TEXAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 160 PLAZA SANTA ROSA | ||||||||
| Address2: | |||||||||
| City: | BROWNSVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 78520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9565508700 | ||||||||
| FaxNumber: | 9565500242 | ||||||||
| Practice Location | |||||||||
| Address1: | 2310 N ED CAREY DR # 1B | ||||||||
| Address2: | |||||||||
| City: | HARLINGEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785508200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9564285522 | ||||||||
| FaxNumber: | 9564303400 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2008 | ||||||||
| LastUpdateDate: | 05/19/2020 | ||||||||
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| AuthorizedOfficialLastName: | MAZZOLA | ||||||||
| AuthorizedOfficialFirstName: | FRANK | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9564285522 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 05/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0001X | J9200 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology |
No ID Information.