Provider Demographics
NPI:1871964767
Name:SOUTHWESTERN CARDIAC ARRHYTHMIA INSTITUTE, PA
Entity type:Organization
Organization Name:SOUTHWESTERN CARDIAC ARRHYTHMIA INSTITUTE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOOKMAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:LAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-409-2892
Mailing Address - Street 1:3080 JOE BATTLE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938
Mailing Address - Country:US
Mailing Address - Phone:915-313-4949
Mailing Address - Fax:915-313-4753
Practice Address - Street 1:3080 JOE BATTLE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938
Practice Address - Country:US
Practice Address - Phone:915-313-4949
Practice Address - Fax:915-313-4753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-17
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6909207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty