Organization
DALLAS VASCULAR GROUP, P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL C LAM MD (PRESIDENT)
(214) 345-4160
Entity
Organization
Contact information
Practice address
8210 WALNUT HILL LN STE 505, DALLAS, TX 75231-4420
(214) 345-4160
(214) 345-4165
Mailing address
8210 WALNUT HILL LN STE 505, DALLAS, TX 75231-4420
(214) 345-4160
(214) 345-4165
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
01/04/2013
Last updated
04/02/2021
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