Organization
HEART CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
500 E RIDGE RD, SUITE 300, MCALLEN, TX 78503-1506
(956) 630-5522
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00TS23
BCBS OF TEXAS
TX
05
—
0854754-03
—
TX
01
—
CR1177
MEDICARE RAILROAD
TX
Enumeration date
06/09/2005
Last updated
06/26/2019
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