Provider Demographics
NPI:1679198659
Name:EPIC HEART AND VASCULAR CARE PLLC
Entity Type:Organization
Organization Name:EPIC HEART AND VASCULAR CARE PLLC
Other - Org Name:EPIC HEART AND VASCULAR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-739-6081
Mailing Address - Street 1:5801 GOLDEN TRIANGLE BLVD STE 103, MB 307
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-4411
Mailing Address - Country:US
Mailing Address - Phone:940-230-2580
Mailing Address - Fax:940-900-0575
Practice Address - Street 1:1705 S FM 51 STE 107
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3646
Practice Address - Country:US
Practice Address - Phone:940-230-2580
Practice Address - Fax:940-900-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty