MID-CITIES CARDIAC CARE CENTER, PLLC (NPI# 1326458191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326458191 |
Entity Type | Organization |
Organization Name | MID-CITIES CARDIAC CARE CENTER, PLLC |
Practice Address |
1305 Airport Fwy Suite 421 Bedford TX 76021-6605 |
Practice Telephone | 8175101060 |
Enumeration Date | 2014-05-02 |
Last Update Date | 2014-05-02 |
Authorized Official Name | DR. RUSSELL FISHER (PRESIDENT) |
Authorized Official Telephone | 8175101060 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
L06641 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RADIOACTIVE MATERIAL LICENSE | L06641 | 01 |
Street Address |
1305 AIRPORT FWY SUITE 421 |
City | BEDFORD |
State | TX |
Zip Code | 76021-6605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952304743 | James Marcellus Barry Jr. | Psychiatry & Neurology | 1305 Airport Fwy, Ste 205, Bedford, TX 76021-6606 | 2005-05-24 |
1033636477 | Amanda Dutro | Nurse Practitioner | 1305 Airport Fwy, Bedford, TX 76021-6605 | 2017-08-26 |
1811344302 | Cardiac Cath Lab of Mid Cities, Lp | Clinic/Center | 1305 Airport Fwy, Suite 121, Bedford, TX 76021-6605 | 2016-05-16 |
1356798854 | Mid Cities Asc, Lp | Clinic/Center | 1305 Airport Fwy, Suite 123, Bedford, TX 76021-6605 | 2016-05-16 |
1548644610 | Venkatesan D. Vidi, Md Pllc | Internal Medicine | 1305 Airport Fwy, Ste 421, Bedford, TX 76021-6605 | 2015-07-17 |
1801273800 | Manchester Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-04-29 |
1174917108 | Ashland Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-03-27 |
1104214642 | Kensington Interventional Pain Center, LLC | Clinic/Center | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-01-07 |
1700228343 | Fisher Cardiology and Electrophyisology | Internal Medicine | 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605 | 2013-07-24 |
1639412836 | Chart Rehabilitation | Clinic/Center | 1305 Airport Fwy, Suite 402, Bedford, TX 76021-6605 | 2013-04-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
Find all providers in zip 76021 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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1184098600 | United Medical Group | Clinic/Center | 22750 Rockside Rd, Bedford, OH 44146-1574 | 2015-11-20 |
1083008080 | Bedford Ambulatory Surgical Center, LLC | Clinic/Center | 20 Washington Pl, Bedford, NH 03110-6743 | 2015-03-27 |
1144265307 | New Hampshire Radiology Associates, Pllc | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-06-19 |
1669438461 | Bedford Medical Imaging Center, LLC | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-21 |
1780648915 | Southern New Hampshire Radiology Consultants PC | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-14 |
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1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
1538777123 | Lexington Medical Imaging, LLC | Clinic/Center | 15925 Lexington Blvd, Sugar Land, TX 77479-2314 | 2020-07-20 |
1871101899 | Blue Star Imaging Sa, LLC | Clinic/Center | 112 Herff Rd, Boerne, TX 78006-2747 | 2020-07-15 |
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1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.