Healthcare Provider Details

I. General information

NPI: 1245490747
Provider Name (Legal Business Name): HEARTPLACE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 COOL SPRINGS BLVD STE 305
FRANKLIN TN
37067-7332
US

IV. Provider business mailing address

16980 DALLAS PKWY SUITE 200
DALLAS TX
75248-1908
US

V. Phone/Fax

Practice location:
  • Phone: 972-391-1915
  • Fax: 972-391-2061
Mailing address:
  • Phone: 972-391-1915
  • Fax: 972-391-2061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. BOBBY ROUSE
Title or Position: CFO
Credential:
Phone: 601-616-5212