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NPI Code Detail

MEDICARE: TEXOMA HEART GROUP, PA

MEDICARE: TEXOMA HEART GROUP, 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
1174400000XSpecialist

Other Identifiers

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

General Provider Information

NPI Number : 1346324647
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXOMA HEART GROUP, PA
Provider Business Mailing Address
First Line : 5026 POOL ROAD
Second Line :
City : DENISON
State : TX
Zip : 75020-4595
Country : US
Telephone Number : 903-465-3624
Fax Number : 903-465-3973
Provider Business Practice Location Address
First Line : 5026 POOL ROAD
Second Line :
City : DENISON
State : TX
Zip : 75020-4595
Country : US
Telephone Number : 903-465-3624
Fax Number : 903-465-3973
Authorized Official
Title or Position : PRESIDENT
Name : DR. MUKESH R. SHETH I
Credential : MD
Telephone Number : 903-465-3624
Provider Enumeration Date : 10/24/2006
Last Update Date : 06/06/2012

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Directions to “TEXOMA HEART GROUP, PA ” Practice Location

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