Premier Vein Surgery Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIER VEIN SURGERY CENTER

Practice address

12800 Preston Rd
Suite 101
Dallas, TX 75230

Phone

(972) 392-2900

Fax

(888) 223-2813

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Mauricio Giraldo, MD

Title

Chief of Surgery

Phone

(972) 392-2900

Specialties & licenses 1

Addresses

Other names 1

• Premier Vein Surgery Center Advanced Vein and Cosmetic Care Doing business as

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1467769877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-392-2900",
            "fax_number": "888-223-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-392-2900",
            "fax_number": "888-223-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VEIN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "CHIEF OF SURGERY",
        "authorized_official_telephone_number": "972-392-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Vein Surgery Center Advanced Vein and Cosmetic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Total Healthcare PA
• Premier Transit&Transportation LLC
• Premier Transitional Care of Dallas LLC
• Premier Transitional Care on Hillcrest, LLC
• Premier Urogynecology of North Texas PLLC
• Premier Wound Care Specialists PA
• Premiere Counseling and Recovery Services
• Premiere Plus Home Health Services
• Premise 1 Medical Holding LLC
• Premise Health of Texas Medical P a

• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.