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METROPLEX VASCULAR SPECIALISTS PLLC NPI 1245541739


NPI Information

NPI: 1245541739
Provider Name: METROPLEX VASCULAR SPECIALISTS, PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1600 W COLLEGE ST
SUITE 555
GRAPEVINE, TX
ZIP 76051
Phone: (817) 310-0020
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METROPLEX VASCULAR SPECIALISTS, PLLC is a vascular surgery surgery in Grapevine, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. METROPLEX VASCULAR SPECIALISTS, PLLC NPI is 1245541739. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 W COLLEGE ST
SUITE 555
GRAPEVINE, TX
ZIP 76051-580
Phone: (817) 310-0020
Fax: (817) 796-1445

The provider's authorized official is Richard Jerome Wilkerson .
The authorized official title is Owner and has the following contact phone number (817) 310-0020.

The enumeration date for this NPI number is 6/29/2010 and was last updated on 6/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryK9455TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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