Provider Demographics
NPI:1003910241
Name:ECG CONSULTANTS PA
Entity Type:Organization
Organization Name:ECG CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:P
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-373-0095
Mailing Address - Street 1:6116 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 1110
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5162
Mailing Address - Country:US
Mailing Address - Phone:214-373-0095
Mailing Address - Fax:214-373-0098
Practice Address - Street 1:6116 N CENTRAL EXPY
Practice Address - Street 2:SUITE 1110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5162
Practice Address - Country:US
Practice Address - Phone:214-373-0095
Practice Address - Fax:214-373-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX095016402Medicaid
TX136219606Medicaid
TX131292807Medicaid
TX136693210Medicaid
TX167819501Medicaid
TX1003910241Medicare PIN
TX1194769133Medicare PIN
TX167819501Medicaid
TX895345Medicare PIN
TX136219606Medicaid
TXCT02Medicare PIN
TX136693210Medicaid
TX131292807Medicaid
TX8039J0Medicare PIN
TX1891786257Medicare PIN