Provider Demographics
NPI:1063518561
Name:TEXAS CARDIOLOGY ASSOCIATES
Entity type:Organization
Organization Name:TEXAS CARDIOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:NGHI
Authorized Official - Last Name:PHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-393-6877
Mailing Address - Street 1:275 W CAMPBELL RD STE 120
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-8017
Mailing Address - Country:US
Mailing Address - Phone:214-393-6877
Mailing Address - Fax:214-393-6879
Practice Address - Street 1:275 W CAMPBELL RD STE 120
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-8017
Practice Address - Country:US
Practice Address - Phone:214-393-6877
Practice Address - Fax:214-393-6879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4447207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty