Organization
CARDIAC CATH LAB OF FORT WORTH LP
Active
Organization
CARDIAC CATH LAB OF FORT WORTH LP
Active
Other names
Heart and Vascular Center of Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE BEMIS (AUTHORIZED OFFICIAL)
(858) 504-5667
Entity
Organization
Contact information
Practice address
6949 BRYANT IRVIN RD STE 110, FORT WORTH, TX 76132-4494
(817) 332-1818
(817) 332-1820
Mailing address
DEPT# 3017 PO BOX 4417, HOUSTON, TX 77210-4417
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
06/01/2023
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