Organization Active NPI

Texoma Heart Group, PA

  • Specialist
  • Denison, TX
National Provider Identifier
1346324647
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TEXOMA HEART GROUP, PA
Practice address
5026 Pool Road
Denison, TX 75020-4595
Phone
(903) 465-3624
Fax
(903) 465-3973
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Mukesh R. Sheth I, MD
Title
President
Phone
(903) 465-3624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5026 Pool Road
Denison, TX 75020-4595

Mailing address

5026 Pool Road
Denison, TX 75020-4595
Phone (903) 465-3624

Other identifiers 1

IdentifierTypeStateIssuer
080380101MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1044542Texoma Heart Group5026 Pool Road, Denison, TX 75020Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1346324647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 POOL ROAD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204595",
            "telephone_number": "903-465-3624",
            "fax_number": "903-465-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 POOL ROAD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204595",
            "telephone_number": "903-465-3624",
            "fax_number": "903-465-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA HEART GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-465-3624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080380101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.