Organization
EXCEL CARDIAC CARE PLLC
Active
Other names
Excel Cardiac Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARITHA DODLA MD (MANAGING MEMBER)
(940) 634-3035
Entity
Organization
Contact information
Practice address
4400 HERITAGE TRACE PKWY STE 208, FORT WORTH, TX 76244-8902
(817) 518-9005
(817) 518-9015
Mailing address
4400 HERITAGE TRACE PKWY STE 208, FORT WORTH, TX 76244-8902
(817) 518-9005
(817) 518-9015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
246W00000X
Cardiology Technician
—
—
246X00000X
Cardiovascular Specialist/Technologist
—
—
246XC2901X
Cardiovascular Invasive Specialist/Technologist
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338288901
—
TX
Enumeration date
07/06/2013
Last updated
01/07/2023
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