Organization
TRIDENT HEART AND VASCULAR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATISH CHANDRAPRAKASAM MD (CEO AND OWNER)
(817) 882-6868
Entity
Organization
Contact information
Practice address
5801 OAKBEND TRL STE 250, FORT WORTH, TX 76132-3914
(817) 882-6868
(817) 439-9115
Mailing address
5801 OAKBEND TRL STE 270, FORT WORTH, TX 76132-3922
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
08/17/2020
Last updated
09/03/2024
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