Collaborative Cardiology PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COLLABORATIVE CARDIOLOGY PLLC

Doing business as

Collaborative Cardiology PLLC

Practice address

3341 Unicorn Lake Blvd
Denton, TX 76210-0102

Phone

(463) 814-4475

Fax

(940) 308-0055

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ricky Lynn Harris, D.O.

Title

Owner

Phone

(940) 600-2266

Specialties & licenses 1

Addresses

Other names 1

• Collaborative Cardiology PLLC Doing business as

Locations

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1306507504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 KENYON CT",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282320",
            "telephone_number": "940-600-2266",
            "fax_number": "940-308-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 UNICORN LAKE BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100102",
            "telephone_number": "463-814-4475",
            "fax_number": "940-308-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 Wind River Ln",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762102999",
            "country_code": "US",
            "telephone_number": "940-600-2266",
            "fax_number": "940-308-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLABORATIVE CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-600-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborative Cardiology PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Denton, TX
• Providers in Denton, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.