# TEXAS VASCULAR ASSOCIATES

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

## Provider details

- **NPI number:** 1194718429
- **Authorized official:** DR. GREGORY J PEARL MD (VASCULAR SURGEON)
- **Authorized official phone:** (214) 821-9600

## Contact information

- **Practice address:** 621 N. HALL ST., SUITE 100, DALLAS, TX 75226-1339
- **Practice address phone:** (214) 821-9600
- **Practice address fax:** (214) 823-5449
- **Mailing address:** 621 N HALL ST, SUITE 100, DALLAS, TX 75226-1339
- **Mailing address phone:** (214) 821-9600
- **Mailing address fax:** (214) 823-5449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | TX | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | TX | — |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 05/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 143448201 | — | TX |