HEARTFUL CARDIOLOGY PLLC NPI 1710583315

NPI Information

NPI: 1710583315
Provider Name: HEARTFUL CARDIOLOGY, PLLC
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
2800 E BROAD ST STE 204
MANSFIELD, TX
ZIP 76063
Phone: (817) 752-5242
Get Directions

HEARTFUL CARDIOLOGY, PLLC is an interventional cardiology internal medicine in Mansfield, TX. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. HEARTFUL CARDIOLOGY, PLLC NPI is 1710583315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 E BROAD ST STE 204
MANSFIELD, TX
ZIP 76063-411
Phone: (817) 752-5242
Fax: (205) 894-7685

The provider's authorized official is Babatunde Komolafe .
The authorized official title is Physician and has the following contact phone number (205) 880-7887.

The enumeration date for this NPI number is 12/9/2020 and was last updated on 1/24/2022.

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
1	207RI0011X	Internal Medicine	Interventional Cardiology			Yes

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
1	419572901	MEDICAID	TEXAS
2	FK1927598	OTHER		DEA

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

NPI Synchronization or Removal

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