Organization
TEXAS VASCULAR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J PEARL MD (VASCULAR SURGEON)
(214) 821-9600
Entity
Organization
Contact information
Practice address
621 N. HALL ST., SUITE 100, DALLAS, TX 75226-1339
(214) 821-9600
(214) 823-5449
Mailing address
621 N HALL ST, SUITE 100, DALLAS, TX 75226-1339
(214) 821-9600
(214) 823-5449
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
TX
335E00000X
Prosthetic/Orthotic Supplier
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143448201
—
TX
Enumeration date
08/23/2005
Last updated
05/15/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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