Provider Demographics
NPI:1376605568
Name:CARDIOVASCULAR CLINIC OF NORTH TEXAS PA
Entity Type:Organization
Organization Name:CARDIOVASCULAR CLINIC OF NORTH TEXAS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-384-9000
Mailing Address - Street 1:2817 S MAYHILL RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-5966
Mailing Address - Country:US
Mailing Address - Phone:940-384-9000
Mailing Address - Fax:940-891-1415
Practice Address - Street 1:420 E ROUND GROVE RD
Practice Address - Street 2:SUITE 118-222
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8307
Practice Address - Country:US
Practice Address - Phone:940-384-9000
Practice Address - Fax:940-891-1415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
M2699207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178043901Medicaid
TX178043901Medicaid