# TEXAS HEART CLINIC PA

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

## Provider details

- **NPI number:** 1982784195
- **Authorized official:** DR. JOSEF WIDERHORN MD (PHYSICIAN OWNER)
- **Authorized official phone:** (817) 922-9050

## Contact information

- **Practice address:** 1307 8TH AVE, SUITE 501, FORT WORTH, TX 76104
- **Practice address phone:** (817) 922-9050
- **Mailing address:** PO BOX 12229, FORT WORTH, TX 76110-8229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | J2843 | TX | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | J2843 | TX | Yes |
| 207RI0011X | Interventional Cardiology Physician | J2843 | TX | — |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 06/16/2008