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Individual

VASSILIS DIMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 S MAIN ST, FORT WORTH, TX 76104-4909
(817) 702-6926
(817) 702-6930
Mailing address
1412 MAY ST, FORT WORTH, TX 76104-7639
(817) 702-2450
(817) 702-8445

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
N5653
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
N5653
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24668
OKLAHOMA MEDICAL LICENSE
OK
01
N5653
TEXAS MEDICAL LICENSE
TX
Enumeration date
05/30/2007
Last updated
01/11/2021
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