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WICHITA HEART AND VASCULAR CENTER PLLC NPI 1306016225


NPI Information

NPI: 1306016225
Provider Name: WICHITA HEART AND VASCULAR CENTER, PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1631 11TH ST
SUITE A
WICHITA FALLS, TX
ZIP 76301
Phone: (940) 264-3222
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WICHITA HEART AND VASCULAR CENTER, PLLC is a cardiovascular disease internal medicine in Wichita Falls, 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. WICHITA HEART AND VASCULAR CENTER, PLLC NPI is 1306016225. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1631 11TH ST
SUITE A
WICHITA FALLS, TX
ZIP 76301-320
Phone: (940) 264-3222
Fax: (940) 264-3225

The provider's authorized official is Bruce L Palmer .
The authorized official title is Owner/member and has the following contact phone number (940) 264-3222.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 9/27/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100Y906MEDICARE PINTEXAS

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

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