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VEIN RESTORATION GROUP INC. NPI 1306917943


NPI Information

NPI: 1306917943
Provider Name: VEIN RESTORATION GROUP, INC.

Doing Business As: TOTAL LEG CARE

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
2828 W PARKER RD
SUITE B106F
PLANO, TX
ZIP 75075
Phone: (972) 964-5347
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VEIN RESTORATION GROUP, INC. is a vascular and interventional radiology radiology in Plano, TX. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. VEIN RESTORATION GROUP, INC. NPI is 1306917943. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Total Leg Care.

The provider's business location address is:

2828 W PARKER RD
SUITE B106F
PLANO, TX
ZIP 75075-153
Phone: (972) 964-5347
Fax: (972) 599-1853

The provider's authorized official is Albert G Tesoriero .
The authorized official title is President Ceo and has the following contact phone number (972) 964-5347.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/12/2007.


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
12085R0204XRadiologyVascular & Interventional RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10090PGOTHERTEXASBCBS
200X228MEDICARE PINTEXAS

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: 11/14/2023

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