Provider Demographics
NPI:1265088207
Name:PARIS CARDIOLOGY LLC
Entity type:Organization
Organization Name:PARIS CARDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:MCCLINTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-850-3625
Mailing Address - Street 1:151 BETHANY DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-3085
Mailing Address - Country:US
Mailing Address - Phone:612-850-3625
Mailing Address - Fax:
Practice Address - Street 1:2675 41ST ST SE STE 103
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-8209
Practice Address - Country:US
Practice Address - Phone:903-609-4201
Practice Address - Fax:903-385-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty