Frisco Heart and Vascular Institute PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

K2507 Issued in TX

Legal business name

FRISCO HEART AND VASCULAR INSTITUTE PA

Practice address

4401 Coit Rd Ste 309
Frisco, TX 75035-0511

Phone

(469) 362-6543

Fax

(469) 362-6545

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle G Moffett

Title

Administrator

Phone

(469) 362-6543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1720108053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 DRIPPING SPRINGS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344037",
            "telephone_number": "214-618-8833",
            "fax_number": "972-394-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COIT RD STE 309",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350511",
            "telephone_number": "469-362-6543",
            "fax_number": "469-362-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO HEART AND VASCULAR INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-362-6543",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K2507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.