Organization Active NPI

Trinity Vein Institute PLLC

  • Vascular & Interventional Radiology Physician
  • Arlington, TX
National Provider Identifier
1194099622
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
P3724 Issued in TX
Legal business name
TRINITY VEIN INSTITUTE PLLC
Practice address
515 W Mayfield Rd
Ste 407
Arlington, TX 76014-2083
Phone
(682) 999-8346
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Dr. Gordon F Gibbs, MD
Title
Owner/Provider
Phone
(682) 999-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X P3724 TX Primary

Addresses

Primary practice location

515 W Mayfield Rd
Ste 407
Arlington, TX 76014-2083

Mailing address

PO Box 7268
Loveland, CO 80537-0268
Phone (970) 663-2742

Other names 1

  • American Vein & Vascular Institute Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1194099622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7268",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370268",
            "telephone_number": "970-663-2742",
            "fax_number": "970-667-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD",
            "address_2": "STE 407",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142083",
            "telephone_number": "682-999-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY VEIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "682-999-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "P3724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Vein & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.