Metroplex Vascular Specialists, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

K9455 Issued in TX

Legal business name

METROPLEX VASCULAR SPECIALISTS, PLLC

Practice address

1600 W College St
Suite 555
Grapevine, TX 76051-3580

Phone

(817) 310-0020

Fax

(817) 796-1445

NPI assigned

Jun 29, 2010

Last updated

Jun 1, 2011By 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

Richard Jerome Wilkerson, MD

Title

Owner

Phone

(817) 310-0020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1245541739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "SUITE 555",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "817-310-0020",
            "fax_number": "817-796-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "SUITE 555",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "817-310-0020",
            "fax_number": "817-796-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX VASCULAR SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-310-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "K9455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samina J Merchant
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• Tristan Merrill
• Amir B Mesgar, PHARMD
• Metroplex Respiratory Plus Partners,LLP (Respiratory Plus)
• Metropolitan Staffing and Home Health Care, Inc
• Metropolitian Pain Center, LLC
• Bishoy Michaels, D.O
• Mid Cities Health LLC
• Midcities Pain Center, LLC

• Vascular Surgery Physician in Grapevine, TX
• Providers in Grapevine, 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 Jun 1, 2011; 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.