# THE VEIN CLINIC OF DALLAS LLC

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

## Provider details

- **NPI number:** 1760011308
- **Authorized official:** HUSEIN POONAWALA M (MANAGING DIRECTOR)
- **Authorized official phone:** (818) 825-3038

## Contact information

- **Practice address:** 3051 CHURCHILL DR STE 116, FLOWER MOUND, TX 75022-5900
- **Practice address phone:** (698) 468-3464
- **Practice address fax:** (469) 409-0001
- **Mailing address:** 3051 CHURCHILL DR STE 116, FLOWER MOUND, TX 75022-5900
- **Mailing address phone:** (469) 846-8346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2020
- **Last updated:** 03/07/2022