# DALLAS VEIN CENTER, PA

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

## Provider details

- **NPI number:** 1083725634
- **Authorized official:** DR. EDIC STEPHANIAN MD (PRESIDENT)
- **Authorized official phone:** (214) 738-3780

## Contact information

- **Practice address:** 618 CLARA BARTON, SUITE \#1, GARLAND, TX 75042
- **Practice address phone:** (972) 475-6683
- **Practice address fax:** (972) 475-7648
- **Mailing address:** 2555 N PEARL ST APT 303, DALLAS, TX 75201-2244
- **Mailing address phone:** (214) 738-3780
- **Mailing address fax:** (972) 426-9899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | J6256 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/07/2018