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Organization
US VASCULAR ACCESS CENTER OF DALLAS,LLC
Active
Organization
US VASCULAR ACCESS CENTER OF DALLAS,LLC
Active
Other names
Vascular Access Center of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A PERRY (V.P./G.M.)
(407) 661-5766
Entity
Organization
Contact information
Practice address
3604 LIVE OAK ST, SUITE 300, DALLAS, TX 75204-6168
(214) 826-4224
(214) 826-6442
Mailing address
3604 LIVE OAK ST, SUITE 300, DALLAS, TX 75204-6168
(214) 826-4224
(214) 826-6442
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1416422
—
TX
Enumeration date
10/28/2005
Last updated
08/22/2020
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