Provider Demographics
NPI:1376782714
Name:SOUTHWEST CARDIAC ASSOCIATES
Entity type:Organization
Organization Name:SOUTHWEST CARDIAC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BASIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:JISHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-226-0505
Mailing Address - Street 1:5308 N GALLOWAY AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-1125
Mailing Address - Country:US
Mailing Address - Phone:972-226-0505
Mailing Address - Fax:972-289-9640
Practice Address - Street 1:763 E US HIGHWAY 80
Practice Address - Street 2:SUITE 100
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8633
Practice Address - Country:US
Practice Address - Phone:972-226-0505
Practice Address - Fax:972-289-9640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty