# TEXAS PHLEBOLOGY PA

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

## Provider details

- **NPI number:** 1730450115
- **Authorized official:** NATHAN AMORUSO (SR VP REVENUE)
- **Authorized official phone:** (847) 593-8460

## Contact information

- **Practice address:** 6149 WINDHAVEN PKWY, SUITE 130, PLANO, TX 75093-8274
- **Practice address phone:** (630) 725-2730
- **Practice address fax:** (630) 725-2783
- **Mailing address:** PO BOX 971, NORTHBROOK, IL 60065-0971
- **Mailing address phone:** (847) 593-8460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 05/04/2023