Magus Pediatric Cardiology, Pa

LBN: Magus Pediatric Cardiology, Pa
Magus Pediatric Cardiology, Pa is an health care organization with primary practice located at 648 W Campbell Rd Suite B, Richardson TX 75080-3300. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is the primary health care specialty. Magus Pediatric Cardiology, Pa can be contacted via phone (972) 238-5437, or through Fryer, Andrew D via phone (972) 238-5437.

Contact Information

Primary practice address
648 W Campbell Rd Suite B Richardson TX 75080-3300
Fax: (972) 238-5434
Website:
Authorized official contact:
Name: Fryer, Andrew D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A45576 Texas
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X A45576 Texas

Profile Details

NPI number 1356468490
LBN Legal business name Magus Pediatric Cardiology, Pa
DBA Doing business as
Authorized official Fryer, Andrew D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Oct 31st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356468490 NPPES
Texas MEDICAID 095042001

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