HEARTPLACE PLLC NPI 1245490747

NPI Information

NPI: 1245490747
Provider Name: HEARTPLACE, PLLC

Former Legal Business Name: HEARTPLACE, PA

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
16980 DALLAS PKWY
SUITE 200
DALLAS, TX
ZIP 75248
Phone: (972) 391-1915
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HEARTPLACE, PLLC is a cardiovascular disease internal medicine in Dallas, TX. The provider is 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. HEARTPLACE, PLLC NPI is 1245490747. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Heartplace, Pa.

The provider's business location address is:

16980 DALLAS PKWY
SUITE 200
DALLAS, TX
ZIP 75248-908
Phone: (972) 391-1915
Fax: (972) 391-2061

The provider's authorized official is Richard Lockwood .
The authorized official title is Ceo and has the following contact phone number (972) 391-2040.

The CLIA number assigned to this NPI record is 45D0990121 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 2/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	TEXAS	No
2	207UN0901X	Nuclear Medicine	Nuclear Cardiology	TEXAS	No
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	TEXAS	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	083441802	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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