Dallas Vein Center, PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

J6256 Issued in TX

Legal business name

DALLAS VEIN CENTER, PA

Practice address

618 Clara Barton
Suite #1
Garland, TX 75042

Phone

(972) 475-6683

Fax

(972) 475-7648

NPI assigned

Aug 31, 2006

Last updated

Aug 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edic Stephanian, MD

Title

President

Phone

(214) 738-3780

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1083725634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 N PEARL ST APT 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012244",
            "telephone_number": "214-738-3780",
            "fax_number": "972-426-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 CLARA BARTON",
            "address_2": "SUITE #1",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-475-6683",
            "fax_number": "972-475-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS VEIN CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "STEPHANIAN",
        "authorized_official_first_name": "EDIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-738-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "J6256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Internal Medicine and Geriatric Specialists PLLC
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• Dallas Medical Supplies LTD Co
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• Dallas Vamc
• Dallasus Hospice LLC
• Anny Loan Dang
• Hong B Dang, M.D.
• Quoc Dang
• Daniel & Max, LLC

• Vascular Surgery Physician in Garland, TX
• Providers in Garland, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.