EXCEL CARDIAC CARE PLLC NPI 1578904512

NPI Information

  • NPI: 1578904512
  • Provider Name: EXCEL CARDIAC CARE PLLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: EXCEL CARDIAC CARE
  • Address: 4400 HERITAGE TRACE PKWY STE 208
    FORT WORTH, TX
    ZIP 76244
  • Phone: (817) 518-9005

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NPI Details

EXCEL CARDIAC CARE PLLC is a cardiovascular disease internal medicine in Fort Worth, 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. EXCEL CARDIAC CARE PLLC NPI is 1578904512. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Excel Cardiac Care.

The provider's business location address is:

4400 HERITAGE TRACE PKWY STE 208
FORT WORTH, TX
ZIP 76244-902
Phone: (817) 518-9005
Fax: (817) 518-9015

The provider's authorized official is Saritha Dodla .
The authorized official title is Managing Member and has the following contact phone number (940) 634-3035.

The enumeration date for this NPI number is 7/6/2013 and was last updated on 1/7/2023.

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 Number License State Primary
1207RI0011XInternal MedicineInterventional CardiologyNo
2246W00000XTechnician, CardiologyNo
3246X00000XSpecialist/Technologist CardiovascularNo
4246XC2901XSpecialist/Technologist CardiovascularCardiovascular Invasive SpecialistNo
5246XC2903XSpecialist/Technologist CardiovascularVascular SpecialistNo
6246XS1301XSpecialist/Technologist CardiovascularSonographyNo
7261QM2500XClinic/CenterMedical SpecialtyNo
8207RC0000XInternal 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1338288901MEDICAIDTEXAS

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: 3/30/2025

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