SOUTHWEST VASCULAR P.C. NPI 1093273781

NPI Information

SOUTHWEST VASCULAR P.C. 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. SOUTHWEST VASCULAR P.C. NPI is 1093273781. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4375 BOOTH CALLAWAY SUITE 501
FORT WORTH, TX
ZIP 76180
Phone: (817) 770-0608

The provider's authorized official is Martha Providenza .
The authorized official title is Admistrator and has the following contact phone number (817) 614-9552.

The enumeration date for this NPI number is 3/12/2019 and was last updated on 3/12/2019.

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:

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