MEDICARE: ECG CONSULTANTS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003910241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECG CONSULTANTS PA

Provider Business Mailing Address
First Line	:	6116 N CENTRAL EXPY
Second Line	:	SUITE 1110
City	:	DALLAS
State	:	TX
Zip	:	75206-5162
Country	:	US
Telephone Number	:	214-373-0095
Fax Number	:	214-373-0098

Provider Business Practice Location Address
First Line	:	6116 N CENTRAL EXPY
Second Line	:	SUITE 1110
City	:	DALLAS
State	:	TX
Zip	:	75206-5162
Country	:	US
Telephone Number	:	214-373-0095
Fax Number	:	214-373-0098

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VERNON P HORN
Credential	:	MD
Telephone Number	:	214-373-0095

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	07/18/2008

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Directions to “ECG CONSULTANTS PA ” Practice Location

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