Tan Heart Clinic

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

K3862 Issued in TX

Legal business name

TAN HEART CLINIC

Practice address

1540 W Goodwin St
Pleasanton, TX 78064-3804

Phone

(210) 731-0131

NPI assigned

Jul 31, 2012

Organization subpart

No

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

Authorized official

Name

Chun Wang Y Tan, MD

Title

Manager

Phone

(210) 731-0131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1285980920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W MULBERRY AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123236",
            "telephone_number": "210-731-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W GOODWIN ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780643804",
            "telephone_number": "210-731-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN HEART CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "CHUN WANG",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-731-0131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K3862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Surgical Assistants
• Lee M Steinle, DDS
• Danielle Stockhorst, FNP
• Modesta Summers, LVN
• James D Sutton, ED.D.
• Tan Heart Clinic
• Texas Medical Building Inc
• Texas Vital Infusions LLC
• Timberland Medical Group
• Timberland Medical Group

• All providers in Pleasanton, TX
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.