Provider Demographics
NPI:1134308091
Name:NORTH TEXAS VEIN PARTNERS, LLC
Entity Type:Organization
Organization Name:NORTH TEXAS VEIN PARTNERS, LLC
Other - Org Name:VEINTEC VARICOSE VEIN CLINIC OF TEXAS - FORT WORTH
Other - Org Type:Other Name
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:GUINN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-927-5627
Mailing Address - Street 1:2737 S HULEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-9535
Mailing Address - Country:US
Mailing Address - Phone:817-927-5627
Mailing Address - Fax:817-927-7568
Practice Address - Street 1:2737 S HULEN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-9535
Practice Address - Country:US
Practice Address - Phone:817-927-5627
Practice Address - Fax:817-927-7568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK37852086S0129X
TX658422086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty