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NPI Code Detail

MEDICARE: FORT WORTH INSTITUTE FOR CARDIAC CARE

MEDICARE: FORT WORTH INSTITUTE FOR CARDIAC CARE
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
1261Q00000XClinic/CenterTX

General Provider Information

NPI Number : 1861471955
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT WORTH INSTITUTE FOR CARDIAC CARE
Provider Business Mailing Address
First Line : 1300 W TERRELL AVE
Second Line : SUITE 401
City : FORT WORTH
State : TX
Zip : 76104-2800
Country : US
Telephone Number : 817-252-5070
Fax Number : 817-252-5072
Provider Business Practice Location Address
First Line : 1300 W TERRELL AVE
Second Line : SUITE 401
City : FORT WORTH
State : TX
Zip : 76104-2800
Country : US
Telephone Number : 817-252-5070
Fax Number : 817-252-5072
Authorized Official
Title or Position : DIRECTOR
Name : MS. ALLISON ELROD
Credential : RN
Telephone Number : 817-252-5070
Provider Enumeration Date : 01/17/2006
Last Update Date : 08/22/2020

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Directions to “FORT WORTH INSTITUTE FOR CARDIAC CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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