# VASCULAR AND VEIN CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013173764
- **Authorized official:** DR. RAMESH PALADUGU M.D. (PRESIDENT AND VASCULAR SURGEON)
- **Authorized official phone:** (817) 332-8346

## Contact information

- **Practice address:** 851 W TERRELL AVE, FORT WORTH, TX 76104-3161
- **Practice address phone:** (817) 332-8346
- **Practice address fax:** (817) 332-1723
- **Mailing address:** PO BOX 33434, FORT WORTH, TX 76162-3434
- **Mailing address phone:** (817) 332-8346
- **Mailing address fax:** (817) 332-1723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | L 9584 | TX | Yes |

## Other

- **Enumeration date:** 08/01/2008
- **Last updated:** 01/30/2024