Southwest Cardiac Associates

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTHWEST CARDIAC ASSOCIATES

Practice address

5308 North Galloway Ave
Suite 100
Mesquite, TX 75150

Phone

(972) 226-0505

Fax

(972) 289-9640

NPI assigned

Jan 25, 2006

Organization subpart

No

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

Authorized official

Name

Srinivas R Gunukula, M.D.

Title

President

Phone

(972) 226-0505

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1801866579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 N GALLOWAY AVE",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501122",
            "telephone_number": "972-226-0505",
            "fax_number": "972-289-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 NORTH GALLOWAY AVE",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-226-0505",
            "fax_number": "972-289-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CARDIAC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "GUNUKULA",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-226-0505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082116701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.