Texas Vascular Associates

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

TEXAS VASCULAR ASSOCIATES

Practice address

621 N. Hall St.
Suite 100
Dallas, TX 75226-1339

Phone

(214) 821-9600

Fax

(214) 823-5449

NPI assigned

Aug 23, 2005

Last updated

Oct 30, 2026By 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

Liza Christina Gustafson

Title

Practice Administrator

Phone

(469) 800-4704

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 1

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

• Texas Heart Hospital of the Southwest LLC

  dba Baylor Scott & White Heart and Vascular Hospital - Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1609855139

  Member Of

  NPD member

Locations

Practitioners 24

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.

• Sylvia Addison, NP

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1306045620

  Single Specialty

  Medicare reassignment NPD
• Jordan Michael Bond

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1245658038
  Medicare reassignment NPD
• Tuan-Hung B Chu, M.D.

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1609075860
  Medicare reassignment NPD
• Robert Steven Corn, M.D.

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1427314780
  Medicare reassignment NPD
• John Francis Eidt, M.D.

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1932115987
  Medicare reassignment NPD
• Mazin Issa Foteh, MD

  • Vascular Surgery Physician
  • Austin, TX
  • NPI 1811191794
  Medicare reassignment NPD
• Dennis R Gable, MD

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1649233768
  Medicare reassignment NPD
• Bradley R Grimsley, MD

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1609830009
  Medicare reassignment NPD
• Stephen E Hohmann, MD

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1114020922
  Medicare reassignment NPD
• Heather Jones

  • Acute Care Nurse Practitioner
  • Dallas, TX
  • NPI 1770235152
  Medicare reassignment NPD
• John C Kedora, M.D.

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1902015043
  Medicare reassignment NPD
• Joseph Matthew Liechty, MD

  • Vascular Surgery Physician
  • Plano, TX
  • NPI 1043416316
  Medicare reassignment NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1194718429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N HALL ST STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261305",
            "telephone_number": "214-821-9600",
            "fax_number": "214-823-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N. HALL ST.",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261339",
            "telephone_number": "214-821-9600",
            "fax_number": "214-823-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS VASCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "469-800-4704"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Texas Vestibular Diagnostics
• Texas Wisdom Teeth & Dental Implants
• Texas Wound Associates, PLLC
• Texas Woundcare PLLC
• Texasmd Management Corporation

• Vascular Surgery Physician in Dallas, TX
• Providers in Dallas, 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 Oct 30, 2026; 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.

Verify at the official NPI Registry.