MEDICARE: COMPLETE HEART CARE, P.A.

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	L8740	TX

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

General Provider Information

NPI Number	:	1336165786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HEART CARE, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 250709
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-0709
Country	:	US
Telephone Number	:	214-544-3355
Fax Number	:	972-547-6199

Provider Business Practice Location Address
First Line	:	2517 VIRGINIA PKWY
Second Line	:	SUITE 101
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5077
Country	:	US
Telephone Number	:	214-544-3355
Fax Number	:	972-547-6199

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FAIZAN IFTIKHAR
Credential	:	M.D.
Telephone Number	:	214-544-3355

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	06/07/2011

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