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Organization

IHEART CARE PRACTICE TX99, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID W TAYCE (MANAGER)
(214) 244-9820
Entity
Organization

Contact information

Practice address
17950 PRESTON RD, SUITE 120, DALLAS, TX 75252-5793
(214) 253-0391
Mailing address
885 E COLLINS BLVD, SUITE 109, RICHARDSON, TX 75081-2285

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
05/14/2013
Last updated
08/01/2013
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