FORT WORTH CARDIOVASCULAR CENTER L.P. NPI 1639123219

NPI Information

FORT WORTH CARDIOVASCULAR CENTER, L.P. is a medical specialty clinic center in Fort Worth, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). FORT WORTH CARDIOVASCULAR CENTER, L.P. NPI is 1639123219. The provider is registered as an organization entity type.

The provider's business location address is:

1650 W ROSEDALE ST
SUITE 206
FORT WORTH, TX
ZIP 76104-400
Phone: (817) 877-0052
Fax: (817) 877-4103

The provider's authorized official is Jeffrey M Flanegin .
The authorized official title is President and has the following contact phone number (610) 831-1112.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/31/2007.

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:

Other Identifiers

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

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