ADVANCED VEIN & VASCULAR ASSOCIATES NPI 1497062830

NPI Information

ADVANCED VEIN & VASCULAR ASSOCIATES is a vascular surgery surgery in Dallas, 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. ADVANCED VEIN & VASCULAR ASSOCIATES NPI is 1497062830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8210 WALNUT HILL LN
SUITE 408
DALLAS, TX
ZIP 75231-405
Phone: (469) 547-1142
Fax: (469) 547-1162

The provider's authorized official is Humam Bassam Kakish .
The authorized official title is Owner and has the following contact phone number (469) 547-1142.

The enumeration date for this NPI number is 9/7/2010 and was last updated on 7/31/2014.

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:

Other Identifiers

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