Southwest Vascular P.C.

LBN: Southwest Vascular P.C.
Southwest Vascular P.C. is an health care organization with primary practice located at 4375 Booth Callaway Suite 501 , Fort Worth TX 76180. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty. Southwest Vascular P.C. can be contacted via phone (817) 770-0608, or through Providenza, Martha via phone (817) 614-9552.

Contact Information

Primary practice address
4375 Booth Callaway Suite 501 Fort Worth TX 76180
Phone: (817) 770-0608
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Providenza, Martha
Phone: (817) 614-9552

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1093273781
LBN Legal business name Southwest Vascular P.C.
DBA Doing business as
Authorized official Providenza, Martha
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2019
Last updated Mar 12th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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