Healthcare Provider Details

I. General information

NPI: 1104732833
Provider Name (Legal Business Name): COMMUNITY HEALTH ENDOVASCULAR ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006 BELT LINE RD STE 175
ADDISON TX
75001-5807
US

IV. Provider business mailing address

4006 BELT LINE RD STE 185
ADDISON TX
75001-4371
US

V. Phone/Fax

Practice location:
  • Phone: 214-619-5632
  • Fax:
Mailing address:
  • Phone: 214-619-5632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRIS MURRAY
Title or Position: MANAGER
Credential:
Phone: 214-619-5632