Organization · NPI-2
Congenital Heart Surgery Center PLLC
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Dallas, TX
NPI number1386700565
StatusActive
Last updated in NPPESNov 21, 2025
Details
- NPI
- 1386700565
- Entity type
- Organization (NPI-2)
- Legal business name
- Congenital Heart Surgery Center PLLC
- Organization subpart
- No
- Enumeration date
- Dec 29, 2006
- Certification date
- Nov 21, 2025
- Last updated
- Nov 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | Yes |
Practice location
7777 Forest LnB-115
Dallas, TX 75230-2505
Phone 972-566-2525 · Fax 972-566-2032
Mailing address
2000 Health Park DrBrentwood, TN 37027-4692
Phone 615-373-7406
Authorized official
Nicholas Wadlington
Group Vice President
6153727332
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