An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
taxonomy 207RC0000X
Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as...
taxonomy 293D00000X
Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
TX license #J4319taxonomy 174400000X
Identifiers
Type
Value
Notes
01 (TX)
J4319
LICENSE TX
05 (TX)
131230801
01 (TX)
TXB145190
MEDICARE PTAN
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Ferris Heart Center
Type code 3recorded 2019-08-12
Ferris Heart Center
Type code 3recorded 2011-12-30
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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