STATE OF THE HEART CARDIOLOGY

SOUTHLAKE, TX
NPI1427518372
Entity TypeOrganization
Authorized ContactJOHN ANDREW OSBORNE
Director
817-808-2488
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date2019-03-25
Last Update Date2019-03-25
Business Address
STATE OF THE HEART CARDIOLOGY
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Phone number: 817-442-5698
Mailing Address
STATE OF THE HEART CARDIOLOGY
712 WINDING RIDGE TRAIL
SOUTHLAKE, TX 76092
Phone number: 817-808-2488