Organization Active NPI

Premier Vascular Center of Texas

  • Cardiovascular Disease Physician
  • McKinney, TX
National Provider Identifier
1497123616
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PREMIER VASCULAR CENTER OF TEXAS
Practice address
1871 Harroun Ave
200
McKinney, TX 75069
Phone
(940) 442-5209
Fax
(940) 222-2720
NPI assigned
Sep 3, 2015
Last updated
Sep 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Carol Lein Nguyen
Title
Coo
Phone
(940) 442-5209

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary
Vascular Surgery Physician 2086S0129X NU

Addresses

Primary practice location

1871 Harroun Ave
200
McKinney, TX 75069

Mailing address

2871 Lake Vista Dr
Suite 210
Lewisville, TX 75067
Phone (940) 442-5209

National Provider Directory

National Provider Directory

Locations

1871 Harroun Ave
McKinney, TX 75069
Phone (214) 856-3103

1871 Harroun Ave
Ste 200
McKinney, TX 75069
Phone (214) 491-6365

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1497123616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 LAKE VISTA DR",
            "address_2": "SUITE 210",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "940-442-5209",
            "fax_number": "940-222-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 HARROUN AVE",
            "address_2": "200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "940-442-5209",
            "fax_number": "940-222-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VASCULAR CENTER OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2023-09-21",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LEIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "940-442-5209"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.