Organization
GRAPEVINE CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TASHA LYNN WARD (PRACTICE MANAGER)
(817) 424-3278
Entity
Organization
Contact information
Practice address
1643 LANCASTER DR, STE. 203, GRAPEVINE, TX 76051-3593
(817) 424-3278
(817) 416-0145
Mailing address
1643 LANCASTER DR, STE. 203, GRAPEVINE, TX 76051-3593
(817) 424-3278
(817) 416-0145
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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