Organization
STATE OF THE HEART CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDREW OSBORNE M.D., PH.D. (DIRECTOR AND FOUNDER)
(817) 310-3070
Entity
Organization
Contact information
Practice address
3801 WILLIAM D TATE AVE, 850, GRAPEVINE, TX 76051-8755
(817) 310-3070
(817) 310-0023
Mailing address
3801 WILLIAM D TATE AVE, 850, GRAPEVINE, TX 76051-8755
(817) 310-3070
(817) 310-0023
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
01/28/2013
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