MEDICARE: DR. BRICE DAVID VANDERPOOL 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	208600000X	Surgery Physician	C5909	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	88G481	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1598735979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRICE DAVID VANDERPOOL MD

Provider Business Mailing Address
First Line	:	3808 SWISS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6449
Country	:	US
Telephone Number	:	214-823-2650
Fax Number	:	214-824-2404

Provider Business Practice Location Address
First Line	:	3808 SWISS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6449
Country	:	US
Telephone Number	:	214-823-2650
Fax Number	:	214-824-2404

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	01/18/2008

Similar Medicare Providers

1982675161 — DR. DAVID T ARNOLD MD
Practice Location Address:

3808 SWISS AVE
DALLAS, TX
75204-6449

Practice Phone: 214-823-2650
Practice Fax: 214-824-2404

1902877186 — DR. MATTHEW VAN WESTMORELAND MD
Practice Location Address:

3808 SWISS AVE
DALLAS, TX
75204-6449

Practice Phone: 214-823-2650
Practice Fax: 214-824-2404

1497974489 — WESTMORELAND & ARNOLD MD PLLC
Practice Location Address:

3808 SWISS AVE
DALLAS, TX
75204-6449

Practice Phone: 214-823-2650
Practice Fax:

1427319607 — MR. ROGER GRAPE LCSW
Practice Location Address:

6449 NORWAY RD
DALLAS, TX
75230-5146

Practice Phone: 214-502-7084
Practice Fax:

1649975343 — CONSTANCE WRIGHT EDS, LPC-A
Practice Location Address:

5735 GASTON AVE APT 107
DALLAS, TX
75214-6449

Practice Phone: 469-949-3314
Practice Fax:

1518831676 — GILLIAN DEROCHE
Practice Location Address:

4024 SAINT CHRISTOPHER LN
DALLAS, TX
75287-6449

Practice Phone: 330-696-5676
Practice Fax:

Directions to “ DR. BRICE DAVID VANDERPOOL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.