MEDICARE: NORTH DALLAS VEIN CARE LLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1013722164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH DALLAS VEIN CARE LLC

Provider Business Mailing Address
First Line	:	2727 MAIN ST STE 650
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-4321
Country	:	US
Telephone Number	:	877-786-2040
Fax Number	:	302-261-7479

Provider Business Practice Location Address
First Line	:	2727 MAIN ST STE 650
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-4321
Country	:	US
Telephone Number	:	945-216-1621
Fax Number	:	302-261-7479

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL/OWNER
Name	:	AAMIR ABBAS
Credential	:
Telephone Number	:	877-786-2040

Provider Enumeration Date	:	02/07/2025
Last Update Date	:	03/24/2025

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Directions to “NORTH DALLAS VEIN CARE LLC ” Practice Location

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