Healthcare Provider Details

I. General information

NPI: 1326571274
Provider Name (Legal Business Name): HEALTH CONSULTING AND DEVICE MONITORING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 04/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 UPTOWN BLVD STE 2000
CEDAR HILL TX
75104-3528
US

IV. Provider business mailing address

610 UPTOWN BLVD STE 2000
CEDAR HILL TX
75104-3528
US

V. Phone/Fax

Practice location:
  • Phone: 469-523-1482
  • Fax:
Mailing address:
  • Phone: 469-523-1482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246X00000X
TaxonomyCardiovascular Specialist/Technologist
License Number703947
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number703947
License Number StateTX

VIII. Authorized Official

Name: DR. JANTZEN ANDREW STROTHER
Title or Position: CEO
Credential: DVM
Phone: 281-923-8906