NPI 1093260994 · live from the CMS NPI Registry
Cardiovascular Institute Of Excellence PLLC
Internal Medicine, Cardiovascular Disease in Wagoner, OK. National Provider Identifier 1093260994, active.
NPI record
| NPI | 1093260994 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 1202 W Cherokee St, Suite B, Wagoner, OK 74467 |
| Practice phone | 918-485-1326 |
| Enumerated | August 20, 2016 |
| Last updated | August 20, 2016 |
| Authorized official | Chelsea Mcgee, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 4836 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.