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Organization

CENTER FOR VEIN RESTORATION TX2 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHANH Q NGUYEN DO (CHIEF MEDICAL OFFICER)
(855) 830-8346
Entity
Organization

Contact information

Practice address
5668 EDWARDS RANCH RD STE 200, FORT WORTH, TX 76109-4110
(855) 830-8346
(240) 473-4321
Mailing address
7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
(855) 830-8346
(240) 473-4321

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
07/07/2025
Last updated
09/24/2025
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