| NPI | 1306507504 | 
|---|---|
| Doing Business As | COLLABORATIVE CARDIOLOGY PLLC | 
| Entity Type | Organization | 
| Authorized Contact | RICKY LYNN HARRIS Owner 940-600-2266  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease | 
| Enumeration Date | 2022-01-10 | 
| Last Update Date | 2022-01-10 |