Healthcare Provider Details

I. General information

NPI: 1245726108
Provider Name (Legal Business Name): PDS TURNKEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2018
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18320 MICHAELANGELO DR APT SUITE
DALLAS TX
75287-3334
US

IV. Provider business mailing address

18320 MICHAELANGELO DR APT SUITE
DALLAS TX
75287-3334
US

V. Phone/Fax

Practice location:
  • Phone: 800-576-0640
  • Fax:
Mailing address:
  • Phone: 800-576-0640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DENISE NOLAN
Title or Position: OWNER
Credential:
Phone: 469-388-4777