Provider Demographics
NPI:1699894519
Name:PLAINVIEW CARDIOLOGY, PA
Entity type:Organization
Organization Name:PLAINVIEW CARDIOLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-293-9999
Mailing Address - Street 1:812 W 8TH ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-7931
Mailing Address - Country:US
Mailing Address - Phone:806-293-9999
Mailing Address - Fax:806-293-9329
Practice Address - Street 1:812 W 8TH ST STE 3B
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-7931
Practice Address - Country:US
Practice Address - Phone:806-293-9999
Practice Address - Fax:806-293-9329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5347261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF64921Medicare UPIN
TX00659RMedicare ID - Type Unspecified