TEXAS HEART CLINIC PA NPI 1982784195

NPI Information

NPI: 1982784195
Provider Name: TEXAS HEART CLINIC PA
Classification: Internal Medicine - 207RC0001X
Entity Type: Organization

Specialization: Clinical Cardiac Electrophysiology

Address:
1307 8TH AVE
SUITE 501
FORT WORTH, TX
ZIP 76104
Phone: (817) 922-9050
Get Directions

TEXAS HEART CLINIC PA is a clinical cardiac electrophysiology internal medicine in Fort Worth, TX. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. TEXAS HEART CLINIC PA NPI is 1982784195. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1307 8TH AVE
SUITE 501
FORT WORTH, TX
ZIP 76104
Phone: (817) 922-9050

The provider's authorized official is Josef Widerhorn .
The authorized official title is Physician Owner and has the following contact phone number (817) 922-9050.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 6/16/2008.

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	207R00000X	Internal Medicine				No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	J2843	TEXAS	No
3	207RI0011X	Internal Medicine	Interventional Cardiology	J2843	TEXAS	No
4	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	J2843	TEXAS	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	E51105	MEDICARE UPIN
2	60055861	OTHER	TEXAS	MEDICARE RAILROAD
3	2837065007	OTHER	TEXAS	CIGNA PPO
4	0071DU	OTHER	TEXAS	BCBS OF TEXAS GROUP #
5	2171076	OTHER	TEXAS	AETNA HMO
6	2837065012	OTHER	TEXAS	CIGNA HMO
7	4236959	OTHER	TEXAS	AETNA PPO
8	2500101	OTHER	TEXAS	UNITED HEALTHCARE
9	168218901	MEDICAID	TEXAS
10	00187X	MEDICARE PIN	TEXAS
11	=========	OTHER	TEXAS	TRICARE SOUTH

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: 5/5/2024

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