NORTH TEXAS VASCULAR CENTER PA
Radiology at Childress Ave, Mesquite, TX

License number
Texas J1900
Category
Radiology
Type
Surgery
License number
Texas J1900
Category
Radiology
Type
Vascular Surgery
Owner
Name: MISS DAWN MORGAN
Title: CREDENTIALING COORDINATOR
Phone: (941) 953-7451
Address
Address
3865 Childress Ave SUITE C, Mesquite, TX 75150
National Provider ID: 1679981492
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH TEXAS VASCULAR CENTER, PA

3865 Childress Ave #C, Mesquite, TX 75150

Status:
Inactive
Doing business as:
North Texas Vascular Center
Registration:
Jan 2, 2014
Phone:
(972) 499-4203 (Phone)
State ID:
0801908219
Business type:
Professional Association
Director, Member:
Rizwan Bukhari Director, Member, inactive
TIN:
32052809319
Categories:
Physicians & Surgeons

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