Trident Heart And Vascular, PLLC
Internal Medicine, Cardiovascular Disease in Fort Worth, TX. Organization (NPI-2).
NPI number1497367015
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1497367015
- Entity type
- Organization (NPI-2)
- Legal business name
- Trident Heart And Vascular, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – |
Practice location
5801 Oakbend Trl Ste 250Fort Worth, TX 76132-3914
Phone 817-882-6868 · Fax 817-439-9115
Mailing address
5801 Oakbend Trl Ste 270Fort Worth, TX 76132-3922
Authorized official
Satish Chandraprakasam
Ceo And Owner
8178826868
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