Organization
PLANO NEOVASCULAR INTERVENTIONAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV GUPTA MD (MEMBER)
(214) 732-5813
Entity
Organization
Contact information
Practice address
6800 PRESTON RD STE 100, PLANO, TX 75024-2505
(214) 808-2218
Mailing address
PO BOX 797007, DALLAS, TX 75379-7007
(214) 732-5813
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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