Provider Demographics
NPI:1548660889
Name:ADVANCED HEART AND RHYTHM, PLLC
Entity type:Organization
Organization Name:ADVANCED HEART AND RHYTHM, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:CANHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MCS
Authorized Official - Phone:214-774-9771
Mailing Address - Street 1:3650 W WHEATLAND RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3494
Mailing Address - Country:US
Mailing Address - Phone:214-774-9771
Mailing Address - Fax:214-774-9762
Practice Address - Street 1:3650 W WHEATLAND RD
Practice Address - Street 2:SUITE C
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3494
Practice Address - Country:US
Practice Address - Phone:214-774-9771
Practice Address - Fax:214-774-9762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2274207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty