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Organization

FRADKIN SURGICAL SERVICES PLLC

Active
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Organization

FRADKIN SURGICAL SERVICES PLLC

Active
Other names
MID-CITIES VEIN INSTITUTE
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN DOUGLAS FRADKIN MD (MANAGING MEMBER)
(303) 522-9525
Entity
Organization

Contact information

Practice address
2140 E SOUTHLAKE BLVD STE L-229, SOUTHLAKE, TX 76092-6516
(817) 835-8035
(702) 989-8444
Mailing address
2140 E SOUTHLAKE BLVD STE L-229, SOUTHLAKE, TX 76092-6516
(303) 522-9525
(702) 989-8444

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
202K00000X
Phlebology Physician
Primary
208600000X
Surgery Physician

Other

Enumeration date
07/03/2024
Last updated
07/16/2026
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