NPIMap

Organization Active NPI

Texas Vascular Associates

  • Prosthetic/Orthotic Supplier
  • Plano, TX
National Provider Identifier
1073747952
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101289 Issued in TX
Legal business name
TEXAS VASCULAR ASSOCIATES
Practice address
4708 Alliance Blvd
Suite# 240
Plano, TX 75093-5340
Phone
(214) 821-9600
Fax
(214) 823-5449
NPI assigned
May 7, 2009
Last updated
Dec 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Kimberly M Jolivette Williams, CPC
Title
Business Office Supervisor
Phone
(214) 821-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 101289 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd
Suite# 240
Plano, TX 75093-5340

Mailing address

4708 Alliance Blvd
Suite# 240
Plano, TX 75093-5340
Phone (214) 821-9600

Other identifiers 1

IdentifierTypeStateIssuer
143448201MedicaidTX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1073747952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE# 240",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "214-821-9600",
            "fax_number": "214-823-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE# 240",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "214-821-9600",
            "fax_number": "214-823-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS VASCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "JOLIVETTE WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "214-821-9600",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143448201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.