Organization Active NPI

DFW Cardiovascular Institute PLLC

  • Vascular Surgery Physician
  • Irving, TX
National Provider Identifier
1043955404
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
DFW CARDIOVASCULAR INSTITUTE PLLC
Practice address
9901 Valley Ranch Pkwy E Ste 101
Irving, TX 75063-4730
Phone
(985) 713-1173
NPI assigned
Apr 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Mareno, DCNPI 1275830457
Title
Owner
Phone
(972) 417-1936

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

9901 Valley Ranch Pkwy E Ste 101
Irving, TX 75063-4730

Mailing address

9901 Valley Ranch Pkwy E Ste 101
Irving, TX 75063-4730
Phone (985) 713-1173

National Provider Directory

National Provider Directory

Locations

2617 Bolton Boone Dr
Ste A
Desoto, TX 75115
Phone (972) 296-5036

1611 N Mesa St
El Paso, TX 79902
Phone (915) 532-2928

9901 Valley Ranch Pkwy E
Ste 1015
Irving, TX 75063
Phone (972) 373-0303

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": "1651276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1043955404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 VALLEY RANCH PKWY E STE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634730",
            "telephone_number": "985-713-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 VALLEY RANCH PKWY E STE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634730",
            "telephone_number": "985-713-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW CARDIOVASCULAR INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-30",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "MARENO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-417-1936",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.