Provider Demographics
NPI:1528138104
Name:CARDIAC CENTER OF TEXAS PA
Entity type:Organization
Organization Name:CARDIAC CENTER OF TEXAS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:AKRAM
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-529-6939
Mailing Address - Street 1:4201 MEDICAL CENTER DR
Mailing Address - Street 2:STE # 380
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1764
Mailing Address - Country:US
Mailing Address - Phone:972-529-6939
Mailing Address - Fax:972-529-6935
Practice Address - Street 1:4201 MEDICAL CENTER DR
Practice Address - Street 2:STE # 380
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1764
Practice Address - Country:US
Practice Address - Phone:972-529-6939
Practice Address - Fax:972-529-6935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4878174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDB4251OtherRAILROAD MEDICARE
TX0059JVOtherBLUE CROSS BLUE SHIELD
TX159564701Medicaid
TXDB4251OtherRAILROAD MEDICARE