Healthcare Provider Details
I. General information
NPI: 1073015681
Provider Name (Legal Business Name): DFW HEART AND WELLNESS CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2018
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
425 N HIGHLAND AVE STE 220
SHERMAN TX
75092-7383
US
IV. Provider business mailing address
425 N HIGHLAND AVE STE 220
SHERMAN TX
75092-7383
US
V. Phone/Fax
- Phone: 210-885-3761
- Fax: 360-838-1219
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NIKHIL
JOSHI
Title or Position: OWNER
Credential: MD
Phone: 210-885-3761