Organization Active NPI

USA Vein Clinics of Dallas PLLC

  • Vascular Surgery Physician
  • Dallas, TX
National Provider Identifier
1205488632
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
USA VEIN CLINICS OF DALLAS PLLC
Practice address
3128 Forest LN Ste 320
Dallas, TX 75234-7761
Phone
(847) 593-8460
Fax
(224) 235-4652
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Ami Almeda
Title
Credentialing Manager
Phone
(224) 318-0118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary

Addresses

Primary practice location

3128 Forest LN Ste 320
Dallas, TX 75234-7761

Mailing address

304 Wainwright Dr
Northbrook, IL 60062-1900
Phone (847) 593-8460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200212001015 TX Part B Supplier - Clinic/Group Practice 2365878295 Receives reassigned benefits from 23 practitioners
Practice locations: Tomball, TX; The Woodlands, TX; Southlake, TX; San Antonio, TX; Richardson, TX; Plano, TX; Missouri City, TX; Irving, TX…

National Provider Directory

National Provider Directory

Locations

3860 W Lake Mead Blvd
Ste A
North Las Vegas, NV 89032

1017 W Randol Mill Rd
Ste B
Arlington, TX 76012
Phone (682) 712-1132

4000 Five Points Dr
Ste 133C
Arlington, TX 76018
Phone (817) 668-5306

12180 N Mopac Expy
Ste 1A
Austin, TX 78758
Phone (737) 273-2920

4300 S Padre Island Dr
Ste 4-1
Corpus Christi, TX 78411
Phone (361) 602-0033

3128 Forest Ln
Ste 320
Dallas, TX 75234
Phone (469) 498-9845

4001 Long Prairie Rd
Flower Mound, TX 75028
Phone (972) 874-3900

5320 North Tarrant Pkwy
Ste 200A
Fort Worth, TX 76244
Phone (682) 428-4931

2615 Southwest Fwy
Ste 220C
Houston, TX 77098
Phone (346) 249-6676

4126 Southwest Fwy
Ste 1100
Houston, TX 77027
Phone (713) 961-0086

5433 Westheimer Rd
Ste 200
Houston, TX 77056

7200 State Highway 161
Ste 110C
Irving, TX 75039
Phone (469) 420-9229

6218 Highway 6
Ste B
Missouri City, TX 77459
Phone (281) 403-6218

930 E Campbell Rd
Richardson, TX 75081
Phone (469) 498-9844

200 E Southlake Blvd
Ste 20
Southlake, TX 76092
Phone (817) 251-6767

2777 E Southlake Blvd
Ste 140C
Southlake, TX 76092
Phone (817) 488-7511

26400 Kuykendahl Rd
Ste C250
The Woodlands, TX 77375
Phone (281) 205-5990

22625 Tomball Pkwy
Tomball, TX 77375

22625 Tomball Pkwy
Ste 450
Tomball, TX 77375
Phone (281) 661-5058

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1205488632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621900",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 FOREST LN STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347761",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA VEIN CLINICS OF DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "ALMEDA",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "224-318-0118"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.