PLANO HEART CENTER, P.A.
Osteopathic Medicine at 15 St, Plano, TX

License number
Texas K9006
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: DR. POONAM GOYAL AGARWAL M.D.
Title: PRESIDENT
Phone: (972) 596-9200
Address
Address
4104 W 15Th St SUITE 201, Plano, TX 75093
National Provider ID: 1235356171
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PLANO HEART CENTER, PA

Plano, TX

Registration:
Jun 11, 2003
Addresses:
4104 W 15 St STE 201, Plano, TX 75093 (Mailing)
1600 Coit Rd, Plano, TX 75075
State ID:
0800213330
Business type:
Professional Association
President, Director, Member:
Poonam G. Agarwal (President, Director, Member)
Agent:
Poonam G Agarwal,4104 W 15 St SUITE 201, Plano, TX 75093 (Physical)
TIN:
32035763112

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