FORT WORTH VASCULAR AND SURGICAL ASSOCIATES PA NPI 1851668925

NPI Information

FORT WORTH VASCULAR AND SURGICAL ASSOCIATES, 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. FORT WORTH VASCULAR AND SURGICAL ASSOCIATES, PA NPI is 1851668925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2737 S HULEN ST
FORT WORTH, TX
ZIP 76109-535
Phone: (817) 332-7544
Fax: (817) 338-9441

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

The enumeration date for this NPI number is 11/17/2011 and was last updated on 4/25/2022.

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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