MID-CITIES CARDIAC CARE CENTER, PLLC


Address: 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605
Phone: 8175101060

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
L06641 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RADIOACTIVE MATERIAL LICENSE L06641 01

Office Location

Street Address 1305 AIRPORT FWY
SUITE 421
City BEDFORD
State TX
Zip Code 76021-6605

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NPI Name Taxonomy Address Enumeration
1952304743 James Marcellus Barry Jr. Psychiatry & Neurology 1305 Airport Fwy, Ste 205, Bedford, TX 76021-6606 2005-05-24
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1356798854 Mid Cities Asc, Lp Clinic/Center 1305 Airport Fwy, Suite 123, Bedford, TX 76021-6605 2016-05-16
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1801273800 Manchester Interventional Pain Center LLC Nurse Anesthetist, Certified Registered 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 2015-04-29
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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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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396357851 Crystal Le Pharmacist 4121 E Hardwood Rd, Bedford, TX 76021 2020-08-17
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1669938171 Tracie Thomas Nurse Practitioner 3901 Airport Freeway, Suite 230, Bedford, TX 76021 2019-02-20
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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
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City BEDFORD
Zip Code 76021

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Dataset Information

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.

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