| Organization Name: | CULLMAN HEART & URGENT CARE PC |
| NPI Number: | 1134494685 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIR K VARQUEZ (PRESIDENT) |
| Mailing Address: | 1803 Park View Dr Cullman |
| State: | AL US |
| Postal Code: | 350583618 |
| Phone Number: | 2562551900 |
| Fax Number: | 2562551937 |
| NPI Enumeration Date: | 03/16/2012 |
| NPI Last Update Date: | 03/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |