Organization
CARDIOCENTRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SOMMERLAD PA (MANAGING MEMBER)
(972) 757-7928
Entity
Organization
Contact information
Practice address
1401 SEMINOLE DR, RICHARDSON, TX 75080-3738
(972) 757-7928
Mailing address
1401 SEMINOLE DR, RICHARDSON, TX 75080-3738
(972) 757-7928
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/15/2020
Last updated
10/01/2025
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