Provider Demographics
NPI:1619120128
Name:CHILDREN'S HEARTS, P.C.
Entity Type:Organization
Organization Name:CHILDREN'S HEARTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-321-8549
Mailing Address - Street 1:1919 CHARLOTTE AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2161
Mailing Address - Country:US
Mailing Address - Phone:615-321-8549
Mailing Address - Fax:615-320-0449
Practice Address - Street 1:1919 CHARLOTTE AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2161
Practice Address - Country:US
Practice Address - Phone:615-321-8549
Practice Address - Fax:615-320-0449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty