MEDICARE: TEXAS PAIN VEIN AND VASCULAR PLLC

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	:	1407580707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS PAIN VEIN AND VASCULAR PLLC

Provider Business Mailing Address
First Line	:	5520 LBJ FWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6381
Country	:	US
Telephone Number	:	972-331-0707
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 MEDICAL PKWY STE 106
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-7838
Country	:	US
Telephone Number	:	817-864-8321
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HAROON RASHEED
Credential	:	MD
Telephone Number	:	972-636-5727

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	07/12/2022

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