Organization
360 CARDIAC CARE PC
Active
Other names
360 Cardiac Care PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAYANTH CHAMAKURA MD (OWNER)
(917) 334-7534
Entity
Organization
Contact information
Practice address
4375 BOOTH CALLOWAY RD STE 210, NORTH RICHLAND HILLS, TX 76180-8362
(817) 678-5988
(817) 693-1037
Mailing address
517 BOULDER DR, SOUTHLAKE, TX 76092-3719
(917) 334-7534
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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