Dallas Vein Center, Pa

NPI 1083725634 - Surgery - 2086S0129X

NPI Details
NPI 1083725634
Enumeration Date 08/31/2006
Last Updated 10/29/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EDIC EDIC
Position PRESIDENT
Phone (972) 475-6683
Fax (972) 475-7648
Practice Location
618 CLARA BARTON
SUITE #1
GARLAND TX, 75042, US
Phone (972) 475-6683
Fax (972) 475-7648
Business Location
4302 RUNNING BROOK DRIVE
ROWLETT TX, 75088-9256, US
Phone (972) 475-6683
Fax (972) 475-7648
Toxanomy
Taxonomy Code 2086S0129X
License State Texas
License Number J6256
Remove 1083725634 NPI Number
 

According to our database, Dallas Vein Center, Pa NPI is 1083725634, taxonomy code is 2086S0129X and license number is J6256, license state is located at Texas. Dallas Vein Center, Pa physically located at 618 Clara Barton, Garland TX, 75042. NPI Number 1033115704 has the healthcare provider type.

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1083725634 NPI number is provided on an as is basis without warranty of any kind. 1083725634 is maintained by the National Plan & Provider Enumeration System. The contents of Dallas Vein Center, Pa are for informational purposes only.