Provider Demographics
NPI:1699128199
Name:HEART OF TEXAS CATH LAB, PLLC
Entity type:Organization
Organization Name:HEART OF TEXAS CATH LAB, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:MYATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-235-1122
Mailing Address - Street 1:7003 WOODWAY DR
Mailing Address - Street 2:SUITE 307
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6170
Mailing Address - Country:US
Mailing Address - Phone:254-235-1122
Mailing Address - Fax:254-235-1189
Practice Address - Street 1:7003 WOODWAY DR
Practice Address - Street 2:SUITE 307
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-6170
Practice Address - Country:US
Practice Address - Phone:254-235-1122
Practice Address - Fax:254-235-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty