Provider Demographics
NPI:1740014000
Name:HEARTPLACE, PLLC
Entity type:Organization
Organization Name:HEARTPLACE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-391-1915
Mailing Address - Street 1:7777 FOREST LN STE A341
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2500
Mailing Address - Country:US
Mailing Address - Phone:972-566-7000
Mailing Address - Fax:844-290-4358
Practice Address - Street 1:7777 FOREST LN STE A341
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2500
Practice Address - Country:US
Practice Address - Phone:972-566-7000
Practice Address - Fax:844-290-4358
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARTPLACE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC3500XNursing Service ProvidersRegistered NurseCardiac RehabilitationGroup - Multi-Specialty