Organization
PREMIER CARDIOLOGY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENOCK G ZABHER (CEO/OWNER)
(940) 626-2461
Entity
Organization
Contact information
Practice address
2301 S FM 51 STE 400, DECATUR, TX 76234-3864
(940) 626-2461
(940) 626-2462
Mailing address
2301 S FM 51 STE 400, DECATUR, TX 76234-3864
(940) 626-2461
(940) 626-2462
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H000MJ8301
BCBSTX
TX
05
—
PENDING
—
TX
Enumeration date
10/28/2019
Last updated
02/04/2020
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