Provider Demographics
NPI:1861550394
Name:CARDIOLOGY PARTNERS, LLP
Entity type:Organization
Organization Name:CARDIOLOGY PARTNERS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-842-2512
Mailing Address - Street 1:1001 N WALDROP DR STE 602
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4714
Mailing Address - Country:US
Mailing Address - Phone:817-277-3999
Mailing Address - Fax:817-861-1588
Practice Address - Street 1:851 HIGHWAY 287 N
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2664
Practice Address - Country:US
Practice Address - Phone:817-842-2500
Practice Address - Fax:817-842-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0081HGOtherBCBS GROUP NUMBER
TX159075XXOtherPREFERRED CARE GROUP NUMB
TX148781101Medicaid
TX0081HGOtherBCBS GROUP NUMBER