Organization Active NPI

Dallas Vascular Group, P.L.L.C

  • Vascular Surgery Physician
  • Dallas, TX
National Provider Identifier
1851638217
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
DALLAS VASCULAR GROUP, P.L.L.C
Practice address
8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420
Phone
(214) 345-4160
Fax
(214) 345-4165
NPI assigned
Jan 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Mr. Russell C Lam, MD
Title
President
Phone
(214) 345-4160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X

Addresses

Primary practice location

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420

Mailing address

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420
Phone (214) 345-4160

National Provider Directory

National Provider Directory

Locations

8210 Walnut Hill Ln
Ste 505
Dallas, TX 75231
Phone (214) 345-4160

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1851638217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS VASCULAR GROUP, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-345-4160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.