FORT WORTH HEART, P.A.
NPI 1801939244
Clinic/Center - Medical Specialty in Fort Worth, TX

Active since February 15, 2007CLIA Certified · 2 labs
1900 MISTLETOE BLVD, SUITE 100, FORT WORTH, TX 76104(817) 338-1300 Get Directions Write a Review

NPPES record last updated: June 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fort Worth Heart, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WORTH HEART, P.A. (NPI 1801939244) is a healthcare organization registered as a medical specialty in Fort Worth, Texas and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Mandi Womack, Administration Mngr, as its authorized official.

NPPES Registry Identity

NPI1801939244
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameFORT WORTH HEART, P.A.
Location Address1900 MISTLETOE BLVD, SUITE 100Fort Worth, TX 76104-4014
Mailing Address1900 Mistletoe Blvd, Suite 100Fort Worth, TX 76104-4014 · (817) 338-1300
Organization SubpartNo
Authorized OfficialMandi WomackAdministration Mngr · (817) 338-1300
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJune 5, 2017
NPI 1801939244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1900 MISTLETOE BLVD, Fort Worth, TX 76104

Other Identifiers 3

Medicaid084424301TX
OtherCP2325TX · Medicare Railroad Group
Medicare PIN00P739TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0962125

Heart Place Dba Fort Worth Heart, PA · Fort Worth, TX
Active · expires Jun 23, 2027
CLIA Number45D0962125
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorDenzil G. D Souza
Laboratory Phone(817) 338-1300
Laboratory LocationHeart Place Dba Fort Worth Heart, PA1900 Mistle Toe Blvd Suite 100, Fort Worth, TX 76104
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2129162

Heart Place Dba Fort Worth Heart, PA · Granbury, TX
Active · expires Apr 12, 2027
CLIA Number45D2129162
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorSanjay Bhargava
Laboratory Phone(817) 338-1300
Laboratory LocationHeart Place Dba Fort Worth Heart, PA805 Hill Blvd Ste 106, Granbury, TX 76048
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
1900 MISTLETOE BLVD, SUITE 100
FORT WORTH, TX 76104
Neurological Surgery
1900 MISTLETOE BLVD, SUITE 200
FORT WORTH, TX 76104
Neurological Surgery
1900 MISTLETOE BLVD, SUITE 200
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1900 MISTLETOE BLVD
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
1900 MISTLETOE BLVD
FT WORTH, TX 76104
Neurological Surgery
1900 MISTLETOE BLVD, SUITE 200
FORT WORTH, TX 76104
Internal Medicine (Interventional Cardiology)
1900 MISTLETOE BLVD, SUITE 100
FORT WORTH, TX 76104
Internal Medicine (Interventional Cardiology)
1900 MISTLETOE BLVD, SUITE 100
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Worth Heart, P.A.'s NPI number?

The NPI number for Fort Worth Heart, P.A. is 1801939244. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Fort Worth Heart, P.A. located?

Fort Worth Heart, P.A. is located at 1900 Mistletoe Blvd Suite 100, Fort Worth, TX 76104. The listed phone number is (817) 338-1300.

What is Fort Worth Heart, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Fort Worth Heart, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fort Worth Heart, P.A. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Fort Worth Heart, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Worth Heart, P.A. was last updated on June 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.