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Premier Cardiology Associates, PLLC

Details

Name: Premier Cardiology Associates, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Series Ltd. Liability Company
Status: Exists
Date of registration: 27 Jul 2023 (a year ago) (Companies founded in July 2023)
Entity Number: 001-091-297
Register Number: 001091297
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Alabama
Registered Office Street Address: 1093 Ross Clark CircleDothan, AL 36303

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922780105 2023-08-07 2023-08-07 1210 AVONDALE DR, MURPHY, TX, 750944191, US 1093 ROSS CLARK CIR, DOTHAN, AL, 363035424, US

Contacts

Phone +1 214-766-2593

Authorized person

Name DR. MOHAMED S RAHMAN
Role CEO
Phone 2147662593

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary No
Taxonomy Code 207RC0001X - Clinical Cardiac Electrophysiology Physician
Is Primary Yes

Agent

Name Role
Rahman, Mohamed S Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State