Active NPI
Center for Vein Restoration TX2 LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Grapevine, TX
National Provider Identifier
1295696243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- CENTER FOR VEIN RESTORATION TX2 LLC
- Practice address
- 1600 Lancaster Dr Ste 103
Grapevine, TX 76051-3579 - Phone
- (855) 830-8346
- NPI assigned
- Nov 19, 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
- Lorena Thomas
- Title
- Cred Manager
- Phone
- (815) 254-1761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
1600 Lancaster Dr Ste 103
Grapevine, TX 76051-3579
Mailing address
7474 Greenway Center Dr Ste 1000
Greenbelt, MD 20770-3500
Phone (240) 965-3261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260331003956 | TX | DME Supplier - Physician - Thoracic Surgery | 2668973678 | Practice locations: Grapevine, 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
- 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.
-
- Surgery Physician
- Fort Worth, TX
- NPI 1295625754
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Worth, TX
- NPI 1760343719
Locations
1600 Lancaster Dr
Ste 103
Grapevine, TX 76051
Phone (817) 488-5170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1295696243",
"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": "240-965-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 LANCASTER DR STE 103",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513579",
"telephone_number": "855-830-8346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR VEIN RESTORATION TX2 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-19",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "LORENA",
"authorized_official_title_or_position": "CRED MANAGER",
"authorized_official_telephone_number": "815-254-1761"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.