Active NPI
Vvctx, PLLC
- Phlebology Physician
- Coppell, TX
National Provider Identifier
1013783497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- VVCTX, PLLC
- Practice address
- 137 E State Highway 121 Ste 100
Coppell, TX 75019-7984 - Phone
- (312) 718-2368
- NPI assigned
- Nov 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Satish Vayuvegula, MD
- Title
- Managing Member
- Phone
- (312) 718-2368
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | Primary |
Addresses
Primary practice location
137 E State Highway 121 Ste 100
Coppell, TX 75019-7984
Mailing address
4721 Holland LN
Carrollton, TX 75010-4594
Phone (312) 718-2368
Other names 1
- Vein Care Centers of Texas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
137 E State Highway 121
Ste 100
Coppell, TX 75019
Phone (312) 718-2368
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701129600000",
"number": "1013783497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 HOLLAND LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104594",
"telephone_number": "312-718-2368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 E STATE HIGHWAY 121 STE 100",
"city": "COPPELL",
"state": "TX",
"postal_code": "750197984",
"telephone_number": "312-718-2368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VVCTX, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A",
"authorized_official_last_name": "VAYUVEGULA",
"authorized_official_first_name": "SATISH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "312-718-2368",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vein Care Centers of Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.