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NPI Code Detail

MEDICARE: DR. JOHN VASSAUR M.D.

MEDICARE: DR. JOHN VASSAUR M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program264088MA
2207RP1001XPulmonary Disease PhysicianS9427TX

General Provider Information

NPI Number : 1619357464
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN VASSAUR M.D.
Provider Business Mailing Address
First Line : 12800 WEBB CHAPEL RD
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-6445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 GASTON AVE STE 960
Second Line :
City : DALLAS
State : TX
Zip : 75246-1909
Country : US
Telephone Number : 469-800-7686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2015
Last Update Date : 04/27/2023

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Directions to “ DR. JOHN VASSAUR M.D.” Practice Location

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