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Organization
TEXAS VASCULAR ASSOCIATES
Active
Organization
TEXAS VASCULAR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J PEARL MD (VASCULAR SURGEON)
(214) 821-9600
Entity
Organization
Contact information
Practice address
621 N. HALL ST., SUITE 100, DALLAS, TX 75226-1339
(214) 821-9600
(214) 823-5449
Mailing address
621 N HALL ST, SUITE 100, DALLAS, TX 75226-1339
(214) 821-9600
(214) 823-5449
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
TX
335E00000X
Prosthetic/Orthotic Supplier
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143448201
—
TX
Enumeration date
08/23/2005
Last updated
05/15/2015
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