CARDIOVASCULAR CONSULTANTS OF NORTH TEXAS LLP NPI 1528210663

NPI Information

NPI: 1528210663
Provider Name: CARDIOVASCULAR CONSULTANTS OF NORTH TEXAS, LLP
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1600 W COLLEGE ST
SUITE 680
GRAPEVINE, TX
ZIP 76051
Phone: (817) 912-8400
Get Directions

CARDIOVASCULAR CONSULTANTS OF NORTH TEXAS, LLP is a cardiovascular disease internal medicine in Grapevine, 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. CARDIOVASCULAR CONSULTANTS OF NORTH TEXAS, LLP NPI is 1528210663. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 W COLLEGE ST
SUITE 680
GRAPEVINE, TX
ZIP 76051-581
Phone: (817) 912-8400
Fax: (817) 912-8410

The provider's authorized official is Trent L Pettijohn .
The authorized official title is Managing Partner and has the following contact phone number (469) 800-4400.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 9/28/2012.

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	207RC0000X	Internal Medicine	Cardiovascular Disease			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
1	149212601	MEDICAID	TEXAS
2	CJ3561	MEDICARE PIN	TEXAS
3	00849R	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

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