Provider Demographics
NPI:1013959360
Name:NORTH TEXAS CARDIOVASCULAR ASSOC
Entity Type:Organization
Organization Name:NORTH TEXAS CARDIOVASCULAR ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-946-8856
Mailing Address - Street 1:PO BOX 975300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75397-5300
Mailing Address - Country:US
Mailing Address - Phone:214-946-8856
Mailing Address - Fax:214-946-5848
Practice Address - Street 1:221 W COLORADO
Practice Address - Street 2:STE 831
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208
Practice Address - Country:US
Practice Address - Phone:214-946-8856
Practice Address - Fax:214-946-5848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX082669501Medicaid
TX00G35LOtherBCBS
TXCD2083OtherRAILROAD MEDICARE
TX00G35LOtherBCBS