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Theodore Sunao Takata, MD
Clinical Cardiac Electrophysiology Physician in Fort Worth, Texas
NPI 1801884382

Theodore Sunao Takata is a Clinical Cardiac Electrophysiology Physician based in Fort Worth, TX and is specialized in Clinical Cardiac Electrophysiology. Theodore Sunao Takata practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Theodore Sunao Takata is 1801884382 and holds a License No. K8508 (Texas).

The current practice location address for Theodore Sunao Takata is 1300 W Terrell Ave, Fort Worth, TX and can be reached out via phone at 817-252-5000 and via fax at 817-252-5060.

Location: 1300 W Terrell Ave, Fort Worth, TX, 76104-2800
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Provider Profile Details
NPI Number
1801884382
Provider Name
Theodore Sunao Takata
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1300 W Terrell Ave, Fort Worth, TX, 76104-2800
Phone Number
817-252-5000
Fax Number
817-252-5060
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
039267205 05 TX
039267203 05 TX
P00226814 01 TX RAIL ROAD MEDICARE
8M6142 01 TX BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1300 W Terrell Ave
City
State
Zip
76104-2800
Phone Number
817-252-5000
Fax Number
817-252-5060
person
Provider Business Mailing Address Details
Address
1300 W Terrell Ave
City
State
Zip
76104-2800
Phone Number
817-252-5000
Fax Number
817-252-5060
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical Cardiac Electrophysiology
Taxonomy
License No.
K8508 (Texas)
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.
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