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SOUTHWEST VASCULAR AND SURGICAL GROUP NPI 1639236425


NPI Information

NPI: 1639236425
Provider Name: SOUTHWEST VASCULAR AND SURGICAL GROUP

Doing Business As: DALLAS SURGICAL GROUP

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
7777 FOREST LANE
SUITE C-760
DALLAS, TX
ZIP 75230
Phone: (972) 566-8039
Get Directions

SOUTHWEST VASCULAR AND SURGICAL GROUP is a surgery in Dallas, TX. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SOUTHWEST VASCULAR AND SURGICAL GROUP NPI is 1639236425. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dallas Surgical Group.

The provider's business location address is:

7777 FOREST LANE
SUITE C-760
DALLAS, TX
ZIP 75230-801
Phone: (972) 566-8039
Fax: (972) 566-2312

The provider's authorized official is Tanya S. Green .
The authorized official title is Practice Manager and has the following contact phone number (972) 566-8039.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 3/30/2009.


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
12086X0206XSurgerySurgical OncologyH2239TEXASNo
2208C00000XColon & Rectal SurgeryK7546TEXASNo
3208C00000XColon & Rectal SurgeryE3311TEXASNo
4208600000XSurgeryJ0020TEXASNo
5208600000XSurgeryJ3706TEXASNo
6208600000XSurgeryK9914TEXASNo
72086S0129XSurgeryVascular SurgeryL3839TEXASNo
8208600000XSurgeryE6012TEXASYes

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
1083607401MEDICAIDTEXAS
200K98JMEDICARE UPINTEXAS
300K98JMEDICARE 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: 4/28/2024

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