1265736177 NPI number — NORTH TEXAS ELECTROPHYSIOLOGY AND ARRHYTHMIA CONSULTANTS

Table of content: (NPI 1265736177)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265736177 NPI number — NORTH TEXAS ELECTROPHYSIOLOGY AND ARRHYTHMIA CONSULTANTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH TEXAS ELECTROPHYSIOLOGY AND ARRHYTHMIA CONSULTANTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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NPI Number Information

NPI Number:
1265736177
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/28/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7777 FOREST LN STE C608
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75230-6852
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-566-5212
Provider Business Mailing Address Fax Number:
972-566-2372

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7777 FOREST LN STE C608
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75230-6852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-566-5212
Provider Business Practice Location Address Fax Number:
972-566-2372
Provider Enumeration Date:
01/06/2011

Additional Information

Authorized Official

Authorized Official Last Name:
RINKENBERGER
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
972-566-5212

Provider Taxonomy Codes

  • Taxonomy code: 207RC0001X , with the licence number:  G5999 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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