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General NPI Number Information
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NPI Number | 1972245181
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Entity Type | Organization
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Legal Business Name | HEART AND VASCULAR MEDICAL CENTER OF NORTH TEXAS PLLC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 171 W SOUTHLAKE BLVD STE 100
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6306
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Country | US
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Telephone | 714-423-9799
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Fax | 714-242-3404
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Provider Business Mailing Address
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Address Line | 1289 BOURLAND RD
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City | KELLER
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State | TX
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Zip | 76248-3924
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Country | US
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Telephone | 714-423-9799
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Fax | 714-242-3404
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AMAN PATEL
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Credential | DO
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Telephone | 714-423-9799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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