Provider Demographics
NPI:1336165786
Name:COMPLETE HEART CARE, P.A.
Entity Type:Organization
Organization Name:COMPLETE HEART CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FAIZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:IFTIKHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-544-3355
Mailing Address - Street 1:PO BOX 250709
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-0709
Mailing Address - Country:US
Mailing Address - Phone:214-544-3355
Mailing Address - Fax:972-547-6199
Practice Address - Street 1:2517 VIRGINIA PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5077
Practice Address - Country:US
Practice Address - Phone:214-544-3355
Practice Address - Fax:972-547-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8740207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1667792Medicaid
TX1667792Medicaid
TX00919WMedicare PIN