Organization
CONGENITAL HEART SURGERY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WADLINGTON (GROUP VICE PRESIDENT)
(615) 372-7332
Entity
Organization
Contact information
Practice address
7777 FOREST LN, B-115, DALLAS, TX 75230-2505
(972) 566-2525
(972) 566-2032
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187008101
—
TX
05
—
200108370A
—
OK
Enumeration date
12/29/2006
Last updated
11/21/2025
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