Healthcare Provider Details

I. General information

NPI: 1134768484
Provider Name (Legal Business Name): VECTOR MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2020
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MEDICAL PKWY STE 101
DALLAS TX
75234-7852
US

IV. Provider business mailing address

9 MEDICAL PKWY STE 101
DALLAS TX
75234-7852
US

V. Phone/Fax

Practice location:
  • Phone: 888-544-3339
  • Fax: 214-853-5728
Mailing address:
  • Phone: 888-544-3339
  • Fax: 214-853-5728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: DUSTIN RAY
Title or Position: PRESIDENT
Credential:
Phone: 888-544-3339