Provider Demographics
NPI:1316063696
Name:TEXAS INSTITUTE OF CARDIOLOGY, P. A.
Entity type:Organization
Organization Name:TEXAS INSTITUTE OF CARDIOLOGY, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ORGANIZATION
Authorized Official - Prefix:DR
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-544-7555
Mailing Address - Street 1:4510 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE #208
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1650
Mailing Address - Country:US
Mailing Address - Phone:214-544-7555
Mailing Address - Fax:214-544-7556
Practice Address - Street 1:4510 MEDICAL CENTER DR
Practice Address - Street 2:SUITE #208
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1650
Practice Address - Country:US
Practice Address - Phone:214-544-7555
Practice Address - Fax:214-544-7556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1719270-01Medicaid
TX1719270-01Medicaid