Organization Active NPI

Virtx LLC

  • Vascular & Interventional Radiology Physician
  • Frisco, TX
National Provider Identifier
1922563410
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
VIRTX LLC
Practice address
13284 Bigelow LN
Frisco, TX 75035-0782
Phone
(305) 469-9852
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Umamaheswari Chethana Mukkamalla, MD
Title
Surrogate
Phone
(305) 469-9852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

13284 Bigelow LN
Frisco, TX 75035-0782

Mailing address

13284 Bigelow LN
Frisco, TX 75035-0782
Phone (305) 469-9852

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1922563410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13284 BIGELOW LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350782",
            "telephone_number": "305-469-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13284 BIGELOW LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350782",
            "telephone_number": "305-469-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "MUKKAMALLA",
        "authorized_official_first_name": "UMAMAHESWARI",
        "authorized_official_middle_name": "CHETHANA",
        "authorized_official_title_or_position": "SURROGATE",
        "authorized_official_telephone_number": "305-469-9852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.