NPI: 1730120908
Provider Name: LEGACY HEART CARE OF FORT WORTH, LLC
Former Legal Business Name: LEGACY HEART CARE, INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization
Specialization: Cardiovascular Disease
Address:
2500 WEST FWY
SUITE 200
FORT WORTH, TX
ZIP 76102
Phone: (817) 423-4400
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LEGACY HEART CARE OF FORT WORTH, LLC 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. LEGACY HEART CARE OF FORT WORTH, LLC NPI is 1730120908. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Legacy Heart Care, Inc..
The provider's business location address is:
2500 WEST FWY
SUITE 200
FORT WORTH, TX
ZIP 76102-848
Phone: (817) 423-4400
Fax: (817) 423-8080
The provider's authorized official is Michael Brett Gratch .
The authorized official title is President and has the following contact phone number (817) 423-4400.
The enumeration date for this NPI number is 6/9/2006 and was last updated on 12/23/2010.