Organization · NPI-2

360 Cardiac Care PC

Internal Medicine, Interventional Cardiology · North Richland Hills, TX

NPI number1801555784
StatusActive
Last updated in NPPESNov 5, 2026

Details

NPI
1801555784
Entity type
Organization (NPI-2)
Legal business name
360 Cardiac Care PC
Organization subpart
No
Enumeration date
Dec 8, 2021
Certification date
Nov 5, 2026
Last updated
Nov 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0011X Internal Medicine, Interventional Cardiology––Yes

Other names

  • 360 Cardiac Care PC (Other Name)

Practice location

4375 Booth Calloway Rd Ste 210
North Richland Hills, TX 76180-8362

Phone 817-678-5988 · Fax 817-693-1037

Mailing address

517 Boulder Dr
Southlake, TX 76092-3719

Phone 917-334-7534

Authorized official

Sanjayanth Chamakura
Owner
9173347534

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