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VASCULAR AND VEIN CENTER PA NPI 1013173764


NPI Information

NPI: 1013173764
Provider Name: VASCULAR AND VEIN CENTER PA
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 45D2297218

Address:
851 W TERRELL AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 332-8346
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VASCULAR AND VEIN CENTER PA is a vascular surgery surgery in Fort Worth, 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 AND VEIN CENTER PA NPI is 1013173764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

851 W TERRELL AVE
FORT WORTH, TX
ZIP 76104-161
Phone: (817) 332-8346
Fax: (817) 332-1723

The provider's authorized official is Ramesh Paladugu .
The authorized official title is President And Vascular Surgeon and has the following contact phone number (817) 332-8346.

The CLIA number assigned to this NPI record is 45D2297218 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2008 and was last updated on 1/30/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryL 9584TEXASYes

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: 4/28/2024

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