# DFW CARDIOVASCULAR INSTITUTE PLLC

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

## Provider details

- **NPI number:** 1043955404
- **Authorized official:** JASON MARENO DC (OWNER)
- **Authorized official phone:** (972) 417-1936

## Contact information

- **Practice address:** 9901 VALLEY RANCH PKWY E STE 101, IRVING, TX 75063-4730
- **Practice address phone:** (985) 713-1173
- **Mailing address:** 9901 VALLEY RANCH PKWY E STE 101, IRVING, TX 75063-4730
- **Mailing address phone:** (985) 713-1173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2022
- **Last updated:** 01/05/2023