Organization
VASCULAR INSTITUTE OF NORTH TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L BASSO (OWNER)
(682) 647-6500
Entity
Organization
Contact information
Practice address
1305 AIRPORT FWY STE 103, BEDFORD, TX 76021-6603
(682) 647-6500
(469) 320-1268
Mailing address
635 ANDERSON RD STE 4, DAVIS, CA 95616-3505
(682) 647-6500
(469) 320-1268
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/18/2019
Last updated
04/29/2024
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