NPIMap

Organization Active NPI

Dallas Endovascular PLLC

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
National Provider Identifier
1972221166
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
DALLAS ENDOVASCULAR PLLC
Practice address
3920 W Wheatland Rd Ste 108
Dallas, TX 75237-3401
Phone
(713) 575-3686
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
William Fox, MDNPI 1437367042
Title
President/Owner
Phone
(713) 575-3686

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)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

3920 W Wheatland Rd Ste 108
Dallas, TX 75237-3401

Mailing address

PO Box 33622
Belfast, ME 04915-0614
Phone (713) 575-3686

Other names 1

  • Texas Endovascular Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230509003155 TX Part B Supplier - Clinic/Group Practice 8224494646 Receives reassigned benefits from 16 practitioners
Practice locations: Plano, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

3920 W Wheatland Rd
Dallas, TX 75237
Phone (972) 551-6820

2305 E Grapevine Mills Cir
Grapevine, TX 76051
Phone (682) 222-8482

1331 W Grand Pkwy N
Ste 210
Katy, TX 77493
Phone (713) 936-0621

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1972221166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150614",
            "telephone_number": "713-575-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W WHEATLAND RD STE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373401",
            "telephone_number": "713-575-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ENDOVASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "713-575-3686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Endovascular Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Endovascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 2023; 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.

Verify at the official NPI Registry.