Provider Demographics
NPI:1841857976
Name:HEART HEALTHY FAMILY PRACTICE, PLLC
Entity type:Organization
Organization Name:HEART HEALTHY FAMILY PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ARCHITECT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:210-363-3930
Mailing Address - Street 1:1840 LOCKHILL SELMA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1550
Mailing Address - Country:US
Mailing Address - Phone:210-363-3930
Mailing Address - Fax:210-783-1129
Practice Address - Street 1:1840 LOCKHILL SELMA RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1550
Practice Address - Country:US
Practice Address - Phone:210-363-3930
Practice Address - Fax:210-783-1129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX803303350OtherCOF