Active NPI
Modern Cardiac Clinic PLLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Worth, TX
National Provider Identifier
1396691606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- MODERN CARDIAC CLINIC PLLC
- Practice address
- 757 8TH Ave Ste a
Fort Worth, TX 76104-2522 - Phone
- (817) 336-4455
- NPI assigned
- Mar 9, 2026
- 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
- Michael Nazarian, MD
- Title
- President
- Phone
- (817) 896-0251
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
757 8TH Ave Ste a
Fort Worth, TX 76104-2522
Mailing address
757 8TH Ave Ste a
Fort Worth, TX 76104-2522
National Provider Directory
National Provider DirectoryLocations
757 8th Ave
Ste A
Ft Worth, TX 76104
Phone (817) 336-4454
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Worth, TX
- NPI 1245401637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1396691606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 8TH AVE STE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 8TH AVE STE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042522",
"telephone_number": "817-336-4455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN CARDIAC CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-09",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "NAZARIAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-896-0251",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.