VASCULAR CARE OF TEXAS PLLC NPI 1982095329

NPI Information

NPI: 1982095329
Provider Name: VASCULAR CARE OF TEXAS, PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 45D2241988

Address:
601 CLARA BARTON BLVD STE 350
GARLAND, TX
ZIP 75042
Phone: (972) 426-9900
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VASCULAR CARE OF TEXAS, PLLC is a vascular surgery surgery in Garland, 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. VASCULAR CARE OF TEXAS, PLLC NPI is 1982095329. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

601 CLARA BARTON BLVD STE 350
GARLAND, TX
ZIP 75042-747
Phone: (972) 426-9900
Fax: (972) 426-9899

The provider's authorized official is Edic Stephanian .
The authorized official title is President and has the following contact phone number (972) 426-9900.

The CLIA number assigned to this NPI record is 45D2241988 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/6/2015 and was last updated on 7/1/2021.

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
1	2086S0129X	Surgery	Vascular Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	348242401	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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