Active NPI
Grapevine Cardiology
- Cardiovascular Disease Physician
- Grapevine, TX
National Provider Identifier
1295063949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- GRAPEVINE CARDIOLOGY
- Practice address
- 1643 Lancaster Dr
Ste. 203
Grapevine, TX 76051-3593 - Phone
- (817) 424-3278
- Fax
- (817) 416-0145
- NPI assigned
- Nov 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tasha Lynn Ward
- Title
- Practice Manager
- Phone
- (817) 424-3278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1643 Lancaster Dr
Ste. 203
Grapevine, TX 76051-3593
Mailing address
1643 Lancaster Dr
Ste. 203
Grapevine, TX 76051-3593
Phone (817) 424-3278
National Provider Directory
National Provider DirectoryLocations
1643 Lancaster Dr
Ste 203
Grapevine, TX 76051
Phone (817) 329-7670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258502400000",
"number": "1295063949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 LANCASTER DR",
"address_2": "STE. 203",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513593",
"telephone_number": "817-424-3278",
"fax_number": "817-416-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 LANCASTER DR",
"address_2": "STE. 203",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513593",
"telephone_number": "817-424-3278",
"fax_number": "817-416-0145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAPEVINE CARDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "TASHA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "817-424-3278",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.