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General NPI Number Information
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NPI Number | 1013986470
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS CARDIOLOGY CENTER, LLP
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2101 9TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4133
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Country | US
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Telephone | 940-766-4488
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Fax | 940-322-5765
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Provider Business Mailing Address
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Address Line | 2101 9TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4133
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Country | US
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Telephone | 940-766-4488
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Fax | 940-322-5765
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | SRIRAM SUDARSHAN
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Credential | M.D.
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Telephone | 940-766-4488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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