Organization
MTV IR PLLC
Active
Organization
MTV IR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS A VAN METER MD (PARTNER)
(469) 458-9800
Entity
Organization
Contact information
Practice address
9101 N CENTRAL EXPY STE 550, DALLAS, TX 75231-5947
(469) 458-9800
(469) 458-9900
Mailing address
111 STOW AVE STE 200, CUYAHOGA FALLS, OH 44221-2560
(330) 564-2659
(330) 546-7758
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
J4583
TX
Other
Enumeration date
01/29/2014
Last updated
06/02/2020
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