Organization · NPI-2

Texas Heart Hospital Of The Southwest LLP

Nurse Practitioner · Plano, TX

NPI number1104164755

StatusActive

Last updated in NPPESJul 15, 2021

Details

NPI: 1104164755
Entity type: Organization (NPI-2)
Legal business name: Texas Heart Hospital Of The Southwest LLP
Organization subpart: Yes
Enumeration date: Jan 16, 2013
Certification date: Jul 15, 2021
Last updated: Jul 15, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363L00000X	Nurse Practitioner	–	–	Yes
363A00000X	Physician Assistant	–	–
364S00000X	Clinical Nurse Specialist	–	–

Other names

Texas Heart Hospital House Providers (Other Name)

Practice location

1100 Allied Dr
Plano, TX 75093-5348

Phone 469-814-3278 · Fax 469-814-4361

Mailing address

1100 Allied Dr
Plano, TX 75093-5348

Phone 469-814-3278 · Fax 469-814-4361

Authorized official

Bryan Z Nichols
Vice President Of Finance
4698143506

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