Provider Demographics
NPI:1144327347
Name:PEDIATRIC HEART CLININC
Entity type:Organization
Organization Name:PEDIATRIC HEART CLININC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SALHADAR
Authorized Official - Suffix:
Authorized Official - Credentials:MDFAAP
Authorized Official - Phone:956-541-9827
Mailing Address - Street 1:864 CENTRAL BLVD STE 1100
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7595
Mailing Address - Country:US
Mailing Address - Phone:956-541-9727
Mailing Address - Fax:956-548-1005
Practice Address - Street 1:864 CENTRAL BLVD STE 1100
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7595
Practice Address - Country:US
Practice Address - Phone:956-541-9727
Practice Address - Fax:956-548-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011CPOtherBC/BS
TX1083110OtherUNITED HEALTHCARE
TX1083110OtherUNITED HEALTHCARE
TX00019KMedicare ID - Type UnspecifiedMEDICARE GROUP ID