Organization
TEXAS VASCULAR ASSOCIATES
Active
Organization
TEXAS VASCULAR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M JOLIVETTE WILLIAMS CPC (BUSINESS OFFICE SUPERVISOR)
(214) 821-9600
Entity
Organization
Contact information
Practice address
4708 ALLIANCE BLVD, SUITE# 240, PLANO, TX 75093-5340
(214) 821-9600
(214) 823-5449
Mailing address
4708 ALLIANCE BLVD, SUITE# 240, PLANO, TX 75093-5340
(214) 821-9600
(214) 823-5449
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143448201
—
TX
Enumeration date
05/07/2009
Last updated
12/02/2013
Update your record
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