Organization
MID-CITIES CARDIAC CARE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL FISHER (PRESIDENT)
(817) 510-1060
Entity
Organization
Contact information
Practice address
1305 AIRPORT FWY, SUITE 421, BEDFORD, TX 76021-6605
(817) 510-1060
Mailing address
1305 AIRPORT FWY, SUITE 421, BEDFORD, TX 76021-6605
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
L06641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L06641
RADIOACTIVE MATERIAL LICENSE
—
Enumeration date
05/02/2014
Last updated
05/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us