DALLAS VEIN CENTER PA NPI 1083725634

NPI Information

DALLAS VEIN CENTER, PA is a vascular surgery surgery in Garland, 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. DALLAS VEIN CENTER, PA NPI is 1083725634. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

618 CLARA BARTON
SUITE #1
GARLAND, TX
ZIP 75042
Phone: (972) 475-6683
Fax: (972) 475-7648

The provider's authorized official is Edic Stephanian .
The authorized official title is President and has the following contact phone number (214) 738-3780.

The CLIA number assigned to this NPI record is 45D2051810 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/7/2018.

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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