Texas Heart Hospital of the Southwest LLP
NPI 1104164755ActiveOrganization· Nurse Practitioner· Plano, TX
Nurse Practitioner in Plano, Texas, registered in NPPES in January 2013, part of Texas Heart Hospital of the Southwest LLP. The authorized official on file is Bryan Z. Nichols, Vice President Of Finance. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104164755 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Texas Heart Hospital of the Southwest LLP |
| NPI issued | Jan 16, 2013 |
| Last updated in NPPES | Jul 15, 2021 |
| Certified by provider | Jul 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Clinical Nurse Specialist | 364S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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