# VASCULAR INSTITUTE OF NORTH TEXAS, PLLC

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

## Provider details

- **NPI number:** 1265085229
- **Authorized official:** TRACY L BASSO (OWNER)
- **Authorized official phone:** (682) 647-6500

## Contact information

- **Practice address:** 1305 AIRPORT FWY STE 103, BEDFORD, TX 76021-6603
- **Practice address phone:** (682) 647-6500
- **Practice address fax:** (469) 320-1268
- **Mailing address:** 635 ANDERSON RD STE 4, DAVIS, CA 95616-3505
- **Mailing address phone:** (682) 647-6500
- **Mailing address fax:** (469) 320-1268

## 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:** 07/18/2019
- **Last updated:** 04/29/2024