Individual
VIVEK SUBRAMANIAN PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-2900
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
T8630
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2015
Last updated
09/28/2022
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