| Heart And Vascular Medical Center Of North Texas Pllc | |
|
171 W Southlake Blvd Ste 100 Southlake TX 76092-6306 | |
| (714) 423-9799 | |
| (714) 242-3404 |
| Full Name | Heart And Vascular Medical Center Of North Texas Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 171 W Southlake Blvd Ste 100, Southlake, Texas |
| Authorized Official Name and Position | Aman Patel (PHYSICIAN) |
| Authorized Official Contact | 7144239799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart And Vascular Medical Center Of North Texas Pllc 1289 Bourland Rd Keller TX 76248-3924 Ph: (714) 423-9799 | Heart And Vascular Medical Center Of North Texas Pllc 171 W Southlake Blvd Ste 100 Southlake TX 76092-6306 Ph: (714) 423-9799 |
| NPI Number | 1972245181 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 08/18/2023 |
| Medicare PECOS PAC ID | 7214381854 |
|---|---|
| Medicare Enrollment ID | O20230929002399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972245181 | NPI | - | NPPES |
| 817304 | Other | TX | MEDICARE |
| 400134901 | Medicaid | TX |
| Provider Name | Aman Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013399286 PECOS PAC ID: 9234437237 Enrollment ID: I20190516003020 |
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