45D0927292 CLIA NUMBER - TEXAS HEART CENTER

Laboratory Demographics

CLIA Number: 45D0927292

Facility Name: TEXAS HEART CENTER

Facility Address:
3600 GASTON AVE SUITE 851-WADLEY
DALLAS, TX
ZIP 75246
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Facility Phone Number: 214 826-6044

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528576451

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	45D0927292
LAB Type	Physician Office
Facility Name	TEXAS HEART CENTER
Street	3600 GASTON AVE SUITE 851-WADLEY
City	DALLAS
State	TX
ZIP	75246
Phone	214 826-6044
CertificateType	4
CertificateEffectiveDate	4/15/2023
CertificateExpirationDate	4/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024