Organization
VIKAS JAIN MD PA CORP
Active
Other names
Vikas Jain MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKAS C JAIN M.D. FACC (MEMBER)
(817) 657-1667
Entity
Organization
Contact information
Practice address
802 WORTHING CT, SOUTHLAKE, TX 76092-8877
(817) 657-1667
(817) 416-9933
Mailing address
802 WORTHING CT, SOUTHLAKE, TX 76092-8877
(817) 657-1667
(817) 416-9933
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L4468
TX
207UN0901X
Nuclear Cardiology Physician
LL468
TX
2085R0204X
Vascular & Interventional Radiology Physician
LL468
TX
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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