Dfw Cardiovascular Institute PLLC
in Irving, TX. Organization (NPI-2).
NPI number1043955404
StatusActive
Last updated in NPPESJan 5, 2023
Details
- NPI
- 1043955404
- Entity type
- Organization (NPI-2)
- Legal business name
- Dfw Cardiovascular Institute PLLC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2022
- Certification date
- Jan 5, 2023
- Last updated
- Jan 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
9901 Valley Ranch Pkwy E Ste 101Irving, TX 75063-4730
Phone 985-713-1173
Mailing address
9901 Valley Ranch Pkwy E Ste 101Irving, TX 75063-4730
Phone 985-713-1173
Authorized official
Jason Mareno
Owner
9724171936
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