Organization
DALLAS VEIN CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDIC STEPHANIAN MD (PRESIDENT)
(214) 738-3780
Entity
Organization
Contact information
Practice address
618 CLARA BARTON, SUITE #1, GARLAND, TX 75042
(972) 475-6683
(972) 475-7648
Mailing address
2555 N PEARL ST APT 303, DALLAS, TX 75201-2244
(214) 738-3780
(972) 426-9899
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
J6256
TX
Other
Enumeration date
08/31/2006
Last updated
08/07/2018
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