EXCEL CARDIAC CARE PLLC


Address: 4324 Heritage Trace Pkwy Ste 808, Fort Worth, TX 76244-9127
Phone: 8175189005

EXCEL CARDIAC CARE PLLC (NPI# 1578904512) 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) 1578904512
Entity Type Organization
Organization Name EXCEL CARDIAC CARE PLLC
Other Organization Name EXCEL CARDIAC CARE
Practice Address 4324 Heritage Trace Pkwy Ste 808
Fort Worth
TX 76244-9127
Practice Telephone 8175189005
Mailing Telephone 8175189005
Enumeration Date 2013-07-06
Last Update Date 2015-06-26
Authorized Official Name DR. SARITHA DODLA (PRESIDENT)
Authorized Official Telephone 9406343035
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Excel Cardiac Care Doing Business As Name - Organization

Office Location

Street Address 4324 HERITAGE TRACE PKWY STE 808
City FORT WORTH
State TX
Zip Code 76244-9127

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1770971012 Aaron J Boone Do Clinic/Center 9628 Bartlett Cir, Suite 380, Fort Worth, TX 76108-4446 2015-01-08
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Competitor

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City FORT WORTH
Zip Code 76244

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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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