William Howard Black, M.D.
Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · The Colony, TX
NPI 1497878334 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497878334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- License
- H3980 (TX)
- Practice address
- 7129 Duckhorn LN
The Colony, TX 75056-5342 - Phone
- (972) 820-6090
- NPI assigned
- Apr 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160308000647 | TX | Order and Referring Only - Cardiovascular Disease (Cardiology) |
5890091466 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H3980 | TX | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascularspecialty Associates of North Texas, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | H3980 | TX | Yes |
Addresses
Primary practice location
7129 Duckhorn LN
The Colony, TX 75056-5342
Mailing address
7129 Duckhorn LN
The Colony, TX 75056-5342
Phone (972) 820-6090
Other providers in The Colony, TX
- Beneesse, Inc.
- Katherine Lanier Besly
- Marvin K Bett
- Asad Bhojani
- Elizabeth Black
- Jordi Bostock
- Kimberly Brackett
- Bradley Therapy, LLC
- William Andrew Brennes
- Kelly Lynn Brink
All providers in The Colony, TX · Clinical Cardiac Electrophysiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.