Organization
US VASCULAR ACCESS CENTER OF DALLAS,LLC
Active
Other names
Vascular Access Center of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A PERRY (V.P./G.M.)
(407) 661-5766
Entity
Organization
Contact information
Practice address
3604 LIVE OAK ST, SUITE 300, DALLAS, TX 75204-6168
(214) 826-4224
(214) 826-6442
Mailing address
3604 LIVE OAK ST, SUITE 300, DALLAS, TX 75204-6168
(214) 826-4224
(214) 826-6442
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1416422
—
TX
Enumeration date
10/28/2005
Last updated
08/22/2020
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