Theodore Sunao Takata in Fort Worth - Clinical Cardiac Electrophysiology

Theodore Sunao Takata - NPI 1801884382

Theodore Sunao Takata is a Clinical Cardiac Electrophysiology in Fort Worth, Texas. Theodore Sunao Takata practices all healthcare services and medical treatments related to Clinical Cardiac Electrophysiology. The NPI Number for Theodore Sunao Takata is 1801884382. The last update date is 2011-08-15.

Theodore Sunao Takata's current location address is 1300 W Terrell Ave, Fort Worth, Texas. You can contact this provider via phone number 8172525000 and fax number 8172525060. The mailing address for Theodore Sunao Takata is 1300 W Terrell Ave, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore Sunao Takata
Address 1300 W Terrell Ave, Fort Worth, Texas
Phone Number 8172525000
Fax Number 8172525060
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1801884382
Provider Enumeration Date 2005-10-10
Last Updated Date 2011-08-15

Provider Mailing Address Detail

Address 1300 W Terrell Ave
City Fort Worth
State Texas (TX)
Post Code 761042800
Phone Number 8172525000
Fax Number 8172525060

Provider's Primary Taxonomy Detail

Speciality Clinical Cardiac Electrophysiology
Taxonomy 207Rc0001X
Licence No K8508
Definition:
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39267205 TX --
39267203 TX --
P00226814 TX RAIL ROAD MEDICARE
8M6142 TX BLUE CROSS

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FAQs about Theodore Sunao Takata

What is the unique 10-digit identification code issued to Theodore Sunao Takata by the Centers for Medicare & Medicaid Services?

The Theodore Sunao Takata has been assigned the NPI (National Provider Identifier) 1801884382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Theodore Sunao Takata is physically located?

The Theodore Sunao Takata is physically situated at the following address: 1300 W Terrell Ave, Fort Worth, TX, 761042800.

What is the area of specialization for Theodore Sunao Takata, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Theodore Sunao Takata is Clinical Cardiac Electrophysiology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0001X.

On what date was the 1801884382 assigned to Theodore Sunao Takata?

The Theodore Sunao Takata was issued its 1801884382 on 2005-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Theodore Sunao Takata most recently updated or refreshed?

The details pertaining to the Theodore Sunao Takata, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-15.

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