Organization Active NPI

Texas Phlebology PA

  • Vascular Surgery Physician
  • Plano, TX
National Provider Identifier
1730450115
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
TEXAS PHLEBOLOGY PA
Practice address
6149 Windhaven Pkwy
Suite 130
Plano, TX 75093-8274
Phone
(630) 725-2730
Fax
(630) 725-2783
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Nathan Amoruso
Title
Sr VP Revenue
Phone
(847) 593-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

6149 Windhaven Pkwy
Suite 130
Plano, TX 75093-8274

Mailing address

PO Box 971
Northbrook, IL 60065-0971
Phone (847) 593-8460

National Provider Directory

National Provider Directory

Locations

4000 Five Points Dr
Arlington, TX 76018
Phone (817) 522-7070

8128 Park Ln
Ste 130
Dallas, TX 75231
Phone (214) 261-1222

Practitioners & affiliated clinicians

Practitioners 1

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": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1730450115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650971",
            "telephone_number": "847-593-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 WINDHAVEN PKWY",
            "address_2": "SUITE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938274",
            "telephone_number": "630-725-2730",
            "fax_number": "630-725-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PHLEBOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "AMORUSO",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "SR VP REVENUE",
        "authorized_official_telephone_number": "847-593-8460"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.