John Edward Willard in Fort Worth - Interventional Cardiology
John Edward Willard - NPI 1083602452
John Edward Willard is a Interventional Cardiology in Fort Worth, Texas. John Edward Willard practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for John Edward Willard is 1083602452. The last update date is 2014-09-15.
John Edward Willard's current location address is 1300 W Terrell Ave Ste 500, Fort Worth, Texas. You can contact this provider via phone number 8172525000 and fax number 8172525060. The mailing address for John Edward Willard is 1300 W Terrell Ave Ste 500, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Edward Willard |
|---|---|
| Address | 1300 W Terrell Ave Ste 500, Fort Worth, Texas |
| Phone Number | 8172525000 |
| Fax Number | 8172525060 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083602452 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2014-09-15 |
Provider Mailing Address Detail
| Address | 1300 W Terrell Ave Ste 500 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761042810 |
| Phone Number | 8172525000 |
| Fax Number | 8172525060 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
| Licence No | H0940 |
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Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110182266 | TX | RAIL ROAD MEDICARE | |
| 85K271 | TX | BLUE CROSS | |
| 1378788-01 | TX | -- | |
| 137878812 | TX | -- |
Post Comment/ Review Below
What is the John Edward Willard's 1083602452?
The John Edward Willard's NPI (National Provider Identifier) Number is 1083602452. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John Edward Willard's facilities are geographically located?
The facilities of John Edward Willard are physically situated at the following location: 1300 W Terrell Ave Ste 500, Fort Worth, TX, 761042810.
What is John Edward Willard's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Edward Willard's area of specialization is Interventional Cardiology, and the corresponding taxonomy code that categorizes this field of practice is 207Ri0011X.
On what date did the John Edward Willard receive its 1083602452 assignment from the Centers for Medicare & Medicaid Services?
The John Edward Willard was assigned its 1083602452 by the Centers for Medicare & Medicaid Services on 2005-10-11.
As of what date was the information regarding John Edward Willard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Edward Willard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-15.
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