| NPI | 1144761404 |
|---|---|
| Doing Business As | ADVANCED HEART AND VASCULAR CENTER |
| Entity Type | Organization |
| Authorized Contact | ANNIKA SANDRA ILLUM Cardiologist 214-377-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P1086) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX P1086) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-07-21 |