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Contact Information

ADVANCED VEIN & VASCULAR ASSOCIATES
7515 GREENVILLE AVE STE 706
DALLAS, TX75231-3885
 Phone: 469-547-1142
 Fax: 469-547-1162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for ADVANCED VEIN & VASCULAR ASSOCIATES

NPI Number 1497062830
LBN Legal business name ADVANCED VEIN & VASCULAR ASSOCIATES
Authorized official HUMAM KAKISH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2010
Last updated 07/24/2024 - More than a year ago
Identifiers
TX License # K0853
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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