# MISSOURI HEART AND VASCULAR INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417335167
- **Authorized official:** MR. DAVID R HORACE (MANAGING MEMBER)
- **Authorized official phone:** (618) 973-8740

## Contact information

- **Practice address:** 1028 S KIRKWOOD RD, KIRKWOOD, MO 63122-7222
- **Practice address phone:** (314) 394-2950
- **Practice address fax:** (314) 394-2253
- **Mailing address:** 1028 S KIRKWOOD RD, KIRKWOOD, MO 63122-7222
- **Mailing address phone:** (314) 394-2950
- **Mailing address fax:** (314) 394-2253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 06/14/2017