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Organization
CENTER FOR VEIN RESTORATION TX2 LLC
Active
Organization
CENTER FOR VEIN RESTORATION TX2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA THOMAS (CRED MANAGER)
(815) 254-1761
Entity
Organization
Contact information
Practice address
1600 LANCASTER DR STE 103, GRAPEVINE, TX 76051-3579
(855) 830-8346
Mailing address
7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
(240) 965-3261
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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