Provider Demographics
NPI:1568571594
Name:HEARTMASTERS, PA
Entity Type:Organization
Organization Name:HEARTMASTERS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADRENNIAN
Authorized Official - Middle Name:ABRAHAM
Authorized Official - Last Name:ARIYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-962-2498
Mailing Address - Street 1:PO BOX 192591
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-8523
Mailing Address - Country:US
Mailing Address - Phone:972-962-2498
Mailing Address - Fax:972-287-7807
Practice Address - Street 1:3535 W WHEATLAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3461
Practice Address - Country:US
Practice Address - Phone:972-223-0550
Practice Address - Fax:972-223-0551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty