Organization
CARDIOVASCULAR CONSULTANTS OF NORTH TEXAS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT L PETTIJOHN MD (MANAGING PARTNER)
(469) 800-4400
Entity
Organization
Contact information
Practice address
2340 E TRINITY MILLS RD, SUITE 118, CARROLLTON, TX 75006-1942
(817) 912-8400
Mailing address
1600 W COLLEGE ST, SUITE 680, GRAPEVINE, TX 76051-3581
(817) 912-8400
(817) 912-8410
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147632701
—
TX
Enumeration date
10/21/2008
Last updated
09/28/2012
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