# MTV IR PLLC

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

## Provider details

- **NPI number:** 1962825760
- **Authorized official:** TRAVIS A VAN METER MD (PARTNER)
- **Authorized official phone:** (469) 458-9800

## Contact information

- **Practice address:** 9101 N CENTRAL EXPY STE 550, DALLAS, TX 75231-5947
- **Practice address phone:** (469) 458-9800
- **Practice address fax:** (469) 458-9900
- **Mailing address:** 111 STOW AVE STE 200, CUYAHOGA FALLS, OH 44221-2560
- **Mailing address phone:** (330) 564-2659
- **Mailing address fax:** (330) 546-7758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | J4583 | TX | Yes |

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 06/02/2020
