Active NPI
Vascular Centers of Texas Fort Worth, PLLC
- Vascular & Interventional Radiology Physician
- Fort Worth, TX
National Provider Identifier
1740152016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- VASCULAR CENTERS OF TEXAS FORT WORTH, PLLC
- Practice address
- 5901 S Hulen St
Fort Worth, TX 76132-2687 - Phone
- (817) 767-9901
- Fax
- (817) 767-9905
- NPI assigned
- Sep 18, 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
- Pauldeep Bahra, M.D
- Title
- Owner
- Phone
- (817) 767-9901
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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
5901 S Hulen St
Fort Worth, TX 76132-2687
Mailing address
5901 S Hulen St
Fort Worth, TX 76132-2687
Phone (817) 767-9901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251002005207 | TX | Part B Supplier - Clinic/Group Practice | 5597261099 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Worth, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Fort Worth, TX
- NPI 1093911166
TX, Vascular & Interventional Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758585600000",
"number": "1740152016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 S HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761322687",
"telephone_number": "817-767-9901",
"fax_number": "817-767-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 S HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761322687",
"telephone_number": "817-767-9901",
"fax_number": "817-767-9905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR CENTERS OF TEXAS FORT WORTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-18",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A",
"authorized_official_last_name": "BAHRA",
"authorized_official_first_name": "PAULDEEP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-767-9901",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.