Provider Demographics
NPI:1376503821
Name:TEXAS CARDIOTHORACIC SURGERY ASSOCIATES, P.A.
Entity type:Organization
Organization Name:TEXAS CARDIOTHORACIC SURGERY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:JAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-942-5222
Mailing Address - Street 1:PO BOX 260072
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-0072
Mailing Address - Country:US
Mailing Address - Phone:972-437-2577
Mailing Address - Fax:972-805-2565
Practice Address - Street 1:221 W COLORADO BLVD
Practice Address - Street 2:SUITE 825
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2363
Practice Address - Country:US
Practice Address - Phone:214-942-5222
Practice Address - Fax:214-942-9366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00J56AOtherBCBS
TX083212301Medicaid