# WEST TEXAS GENERAL & VASCULAR SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vascular 360
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689542920
- **Authorized official:** DR. BAHRAUM DANIEL DANESHFAR MD (CEO)
- **Authorized official phone:** (469) 277-0059

## Contact information

- **Practice address:** 425 OLD NEWMAN RD STE 100, FRISCO, TX 75036-4773
- **Practice address phone:** (469) 277-0059
- **Practice address fax:** (844) 301-7112
- **Mailing address:** 425 OLD NEWMAN RD STE 100, FRISCO, TX 75036-4773
- **Mailing address phone:** (469) 277-0089
- **Mailing address fax:** (844) 301-7112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 10/28/2025
- **Last updated:** 05/20/2026
