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General NPI Number Information
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NPI Number | 1831740802
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Entity Type | Organization
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Legal Business Name | PREMIER HEART CENTER, PLLC
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Dates
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Enumeration Date | 09/21/2019
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 2020 W STATE HIGHWAY 114 STE 130
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City | GRAPEVINE
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State | TX
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Zip | 76051-8649
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Country | US
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Telephone | 682-214-3486
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Fax | 682-214-3470
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Provider Business Mailing Address
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Address Line | PO BOX 92552
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City | SOUTHLAKE
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State | TX
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Zip | 76092-0552
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Country | US
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Telephone | 817-379-3251
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRIEU HO
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Credential | MD
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Telephone | 817-437-3711
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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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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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