Provider Type Icon

PREMIER CARDIOVASCULAR CARE OF DALLAS PLLC NPI 1356892558


NPI Information

NPI: 1356892558
Provider Name: PREMIER CARDIOVASCULAR CARE OF DALLAS, PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 45D2132235

Address:
1018 E WHEATLAND RD
DUNCANVILLE, TX
ZIP 75116
Phone: (469) 513-2666
Get Directions

PREMIER CARDIOVASCULAR CARE OF DALLAS, PLLC is a cardiovascular disease internal medicine in Duncanville, 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. PREMIER CARDIOVASCULAR CARE OF DALLAS, PLLC NPI is 1356892558. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1018 E WHEATLAND RD
DUNCANVILLE, TX
ZIP 75116-914
Phone: (469) 513-2666
Fax: (469) 513-2667

The provider's authorized official is Tim Issac .
The authorized official title is Partner and has the following contact phone number (214) 205-8171.

The CLIA number assigned to this NPI record is 45D2132235 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2016 and was last updated on 12/14/2016.


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

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.