Dallas Vein Specialists, PA

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

E0644 Issued in TX

Legal business name

DALLAS VEIN SPECIALISTS, PA

Practice address

8722 Greenville Ave
Suite 101
Dallas, TX 75243-7167

Phone

(214) 221-9222

Fax

(214) 221-9229

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Lonnie Lee Whiddon, M.D.

Title

President

Phone

(214) 221-9222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1952536757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 GREENVILLE AVE",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437167",
            "telephone_number": "214-221-9222",
            "fax_number": "214-221-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8722 GREENVILLE AVE",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437167",
            "telephone_number": "214-221-9222",
            "fax_number": "214-221-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS VEIN SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WHIDDON",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-221-9222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "TX",
            "license": "E0644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dallas Vascular Group, P.L.L.C
• Dallas Veterans Administration Medical Center
• Dallas Veterans Affair Medical Center
• Dallas Veterans Affairs Medical Center
• Dallas Vision Center Inc
• Dallas Vision Therapy Center PLLC

• Phlebology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Phlebology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.