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HEART CENTER OF NORTH TEXAS PA NPI 1467661595


NPI Information

NPI: 1467661595
Provider Name: HEART CENTER OF NORTH TEXAS, PA

Doing Business As: HEART CENTER OF NORTH TEXAS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 45D1011920

Address:
1200 CRAWFORD AVE STE A
GRANBURY, TX
ZIP 76048
Phone: (817) 334-2800
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HEART CENTER OF NORTH TEXAS, PA is a cardiovascular disease internal medicine in Granbury, 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. HEART CENTER OF NORTH TEXAS, PA NPI is 1467661595. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heart Center Of North Texas.

The provider's business location address is:

1200 CRAWFORD AVE STE A
GRANBURY, TX
ZIP 76048-560
Phone: (817) 334-2800
Fax: (817) 820-0094

The provider's authorized official is Sydney Madden .
The authorized official title is Administrator and has the following contact phone number (817) 334-2800.

The CLIA number assigned to this NPI record is 45D1011920 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 6/22/2021.


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
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
3207RI0011XInternal MedicineInterventional CardiologyNo

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
15930155OTHERTEXASAETNA GROUP NUMBER
200455KOTHERTEXASBCBS GROUP NUMBER
3109377503MEDICAIDTEXAS

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

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.