Organization
HEARTCARE SPECIALIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHI WIEGN MD (PRESIDENT)
(972) 566-8388
Entity
Organization
Contact information
Practice address
7777 FOREST LN STE C335, DALLAS, TX 75230-2505
(972) 566-8388
Mailing address
PO BOX 453187, GARLAND, TX 75045-3187
(972) 566-8388
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M0307
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M0307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A0157
BLUE CROSS BLUE SHIELD
TX
05
—
1998197
—
TX
Enumeration date
09/28/2008
Last updated
04/21/2009
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