Healthcare Provider Details

I. General information

NPI: 1003910241
Provider Name (Legal Business Name): ECG CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6116 N CENTRAL EXPY SUITE 1110
DALLAS TX
75206-5162
US

IV. Provider business mailing address

6116 N CENTRAL EXPY SUITE 1110
DALLAS TX
75206-5162
US

V. Phone/Fax

Practice location:
  • Phone: 214-373-0095
  • Fax: 214-373-0098
Mailing address:
  • Phone: 214-373-0095
  • Fax: 214-373-0098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VERNON P HORN
Title or Position: PRESIDENT
Credential: MD
Phone: 214-373-0095