Unknown Individual – Interventional Cardiology Physician, NPI 1447247291
Interventional Cardiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1300, West Terrell Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
#500
FORT WORTH, TX 761042800
Phone: (817) 252-5000
Fax: (817) 252-5060
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76104)
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