Provider Demographics
NPI:1922264647
Name:PAMPA HEART CLINIC
Entity Type:Organization
Organization Name:PAMPA HEART CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAXMICHAND
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-665-0815
Mailing Address - Street 1:104 E 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-2822
Mailing Address - Country:US
Mailing Address - Phone:806-665-0815
Mailing Address - Fax:806-665-0817
Practice Address - Street 1:104 E 30TH AVE
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-2822
Practice Address - Country:US
Practice Address - Phone:806-665-0815
Practice Address - Fax:806-665-0817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty