Organization
JACKSON HEART PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAM SHADID MD (PHYSICIAN OWNER)
(310) 745-6830
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
1940 FOUNTAIN VIEW DR # 1282, HOUSTON, TX 77057-3206
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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