Organization Active NPI

Northwest Texas Cardiology Associates PA

  • Cardiovascular Disease Physician
  • Flower Mound, TX
National Provider Identifier
1053640383
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTHWEST TEXAS CARDIOLOGY ASSOCIATES PA
Practice address
1329 Cilantro Dr
Flower Mound, TX 75028-3492
Phone
(972) 355-2987
Fax
(214) 221-5600
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jagadish Puppala, MD
Title
Physician
Phone
(972) 355-2987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X TX Primary

Addresses

Primary practice location

1329 Cilantro Dr
Flower Mound, TX 75028-3492

Mailing address

1329 Cilantro Dr
Flower Mound, TX 75028-3492
Phone (972) 355-2987

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1053640383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 CILANTRO DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283492",
            "telephone_number": "972-355-2987",
            "fax_number": "214-221-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 CILANTRO DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283492",
            "telephone_number": "972-355-2987",
            "fax_number": "214-221-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TEXAS CARDIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "PUPPALA",
        "authorized_official_first_name": "JAGADISH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-355-2987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.