MEDICARE: DR. VIJAYASREE ARVIND MD

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	K9995	TX

General Provider Information

NPI Number	:	1104861020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIJAYASREE ARVIND MD

Provider Business Mailing Address
First Line	:	221 W. COLORADO BLVD
Second Line	:	PAV 2 SUITE 940
City	:	DALLAS
State	:	TX
Zip	:	75208
Country	:	US
Telephone Number	:	214-377-1753
Fax Number	:	214-946-1988

Provider Business Practice Location Address
First Line	:	221 W. COLORADO BLVD
Second Line	:	PAV 2 SUITE 940
City	:	DALLAS
State	:	TX
Zip	:	75208-7520
Country	:	US
Telephone Number	:	214-377-1753
Fax Number	:	214-946-1988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	09/07/2023

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