MEDICARE: ADVANCED VASCULAR SOLUTIONS

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	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1245047687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED VASCULAR SOLUTIONS

Provider Business Mailing Address
First Line	:	5700 N EXPRESSWAY 77/83 STE 102
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78526-4354
Country	:	US
Telephone Number	:	956-504-7121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 N ED CAREY DR STE E
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8281
Country	:	US
Telephone Number	:	956-887-8898
Fax Number	:	956-887-8897

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID A LADDEN
Credential	:	MD
Telephone Number	:	936-671-2135

Provider Enumeration Date	:	12/17/2024
Last Update Date	:	12/30/2024

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Directions to “ADVANCED VASCULAR SOLUTIONS ” Practice Location

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