Organization Active NPI

Texas Cardiology Associates

  • Cardiovascular Disease Physician
  • Richardson, TX
National Provider Identifier
1063518561
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M4447 Issued in TX
Legal business name
TEXAS CARDIOLOGY ASSOCIATES
Practice address
275 W Campbell Rd Ste 120
Richardson, TX 75080-8017
Phone
(214) 393-6877
Fax
(214) 393-6879
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Neil Nghi Phung, M.D.NPI 1063523223
Title
Executive Officer
Phone
(214) 393-6877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X M4447 TX Primary

Addresses

Primary practice location

275 W Campbell Rd Ste 120
Richardson, TX 75080-8017

Mailing address

275 W Campbell Rd Ste 120
Richardson, TX 75080-8017
Phone (214) 393-6877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080501000699 TX Part B Supplier - Clinic/Group Practice 7214016229 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

275 W Campbell Rd
Ste 120
Richardson, TX 75080
Phone (214) 393-6877

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1063518561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W CAMPBELL RD STE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750808017",
            "telephone_number": "214-393-6877",
            "fax_number": "214-393-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W CAMPBELL RD STE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750808017",
            "telephone_number": "214-393-6877",
            "fax_number": "214-393-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "NGHI",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-393-6877",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M4447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.