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NPI Code Detail

MEDICARE: VASCULAR AND VEIN CENTER PA

MEDICARE: VASCULAR AND VEIN CENTER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery PhysicianL 9584TX

General Provider Information

NPI Number : 1013173764
Entity Type Code : Organization
Provider Name (Legal Business Name) : VASCULAR AND VEIN CENTER PA
Provider Business Mailing Address
First Line : PO BOX 33434
Second Line :
City : FORT WORTH
State : TX
Zip : 76162-3434
Country : US
Telephone Number : 817-332-8346
Fax Number : 817-332-1723
Provider Business Practice Location Address
First Line : 851 W TERRELL AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3161
Country : US
Telephone Number : 817-332-8346
Fax Number : 817-332-1723
Authorized Official
Title or Position : PRESIDENT AND VASCULAR SURGEON
Name : DR. RAMESH PALADUGU
Credential : M.D.
Telephone Number : 817-332-8346
Provider Enumeration Date : 08/01/2008
Last Update Date : 01/30/2024

Similar Medicare Providers

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Practice Location Address:
851 W TERRELL AVE
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1073536017 — JACQUIN P MATTHEWS MD
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851 W TERRELL AVE
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1528139060 — MYTHILI PALADUGU MD
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851 W TERRELL AVE
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76104-3161
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1932351889 — PATTYANN A. HARDT, M.D., P.A.
Practice Location Address:
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Directions to “VASCULAR AND VEIN CENTER PA ” Practice Location

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