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General NPI Number Information
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NPI Number | 1346324647
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Entity Type | Organization
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Legal Business Name | TEXOMA HEART GROUP, PA
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 5026 POOL ROAD
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City | DENISON
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State | TX
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Zip | 75020-4595
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Country | US
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Telephone | 903-465-3624
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Fax | 903-465-3973
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Provider Business Mailing Address
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Address Line | 5026 POOL ROAD
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City | DENISON
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State | TX
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Zip | 75020-4595
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Country | US
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Telephone | 903-465-3624
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Fax | 903-465-3973
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUKESH R. SHETH I
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Credential | MD
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Telephone | 903-465-3624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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