Organization
NORTH TEXAS VASCULAR CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAWN MORGAN (CREDENTIALING COORDINATOR)
(941) 953-7451
Entity
Organization
Contact information
Practice address
3865 CHILDRESS AVE, SUITE C, MESQUITE, TX 75150-2802
(972) 885-8346
(214) 466-1976
Mailing address
3865 CHILDRESS AVE, SUITE C, MESQUITE, TX 75150-2802
(972) 885-8346
(214) 466-1976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J1900
TX
2086S0129X
Vascular Surgery Physician
J1900
TX
Other
Enumeration date
07/24/2014
Last updated
07/29/2014
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