# DALLAS VASCULAR GROUP, P.L.L.C

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

## Provider details

- **NPI number:** 1851638217
- **Authorized official:** MR. RUSSELL C LAM MD (PRESIDENT)
- **Authorized official phone:** (214) 345-4160

## Contact information

- **Practice address:** 8210 WALNUT HILL LN STE 505, DALLAS, TX 75231-4420
- **Practice address phone:** (214) 345-4160
- **Practice address fax:** (214) 345-4165
- **Mailing address:** 8210 WALNUT HILL LN STE 505, DALLAS, TX 75231-4420
- **Mailing address phone:** (214) 345-4160
- **Mailing address fax:** (214) 345-4165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 01/04/2013
- **Last updated:** 04/02/2021