Active NPI
Center for Vein Restoration TX2 LLC
- Surgery Physician
- Fort Worth, TX
National Provider Identifier
1295625754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CENTER FOR VEIN RESTORATION TX2 LLC
- Practice address
- 5668 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4110 - Phone
- (855) 830-8346
- Fax
- (240) 473-4321
- NPI assigned
- Jul 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khanh Q Nguyen, DO
- Title
- Chief Medical Officer
- Phone
- (855) 830-8346
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
5668 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4110
Mailing address
7474 Greenway Center Dr Ste 1000
Greenbelt, MD 20770-3500
Phone (855) 830-8346
Other practice location 1
1600 Lancaster Dr Ste 103
Grapevine, TX 76051-3579
Phone (855) 830-8346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250831000092 | TX | Part B Supplier - Clinic/Group Practice | 2668973678 |
Receives reassigned benefits from 5 practitioners Practice locations: Fort Worth, TX; Grapevine, TX; Irving, TX |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Grapevine, TX
- NPI 1295696243
2668973678
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Worth, TX
- NPI 1760343719
2668973678
National Provider Directory
National Provider Directory- Tax ID family
- Center for Vein Restoration TX2 LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Grapevine, TX
- NPI 1295696243
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Worth, TX
- NPI 1760343719
Practitioners & affiliated clinicians
Practitioners 5
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": "1751846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1295625754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 1000",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703500",
"telephone_number": "855-830-8346",
"fax_number": "240-473-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5668 EDWARDS RANCH RD STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094110",
"telephone_number": "855-830-8346",
"fax_number": "240-473-4321"
}
],
"practiceLocations": [
{
"address_1": "1600 Lancaster Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Grapevine",
"state": "TX",
"postal_code": "760513579",
"country_code": "US",
"telephone_number": "855-830-8346",
"fax_number": "240-473-4321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTER FOR VEIN RESTORATION TX2 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-07",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "KHANH",
"authorized_official_middle_name": "Q",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "855-830-8346",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Center for Functional Medicine and Ultimate Wellness
- Center for Neurological Disorders, PA
- Center for Osteoporosis and Bone Health LLC
- Center for Therapeutic Change, LTD.
- Center for Transforming Lives
- Center for Vein Restoration TX2 LLC
- Centers for Long Term Care Ancillary Services Inc.
- Centerwell Senior Primary Care (TX) PA
- Centerwell Senior Primary Care (TX) PA
- Central Fort Worth TX Caregiving LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.