Provider Demographics
NPI:1326787524
Name:VASCULAR INSTITUTE TEXAS, PLLC
Entity Type:Organization
Organization Name:VASCULAR INSTITUTE TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-302-3561
Mailing Address - Street 1:2222 W PINNACLE PEAK RD STE 260
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-1224
Mailing Address - Country:US
Mailing Address - Phone:480-616-0016
Mailing Address - Fax:480-626-2690
Practice Address - Street 1:1919 S SHILOH RD STE 400
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-8211
Practice Address - Country:US
Practice Address - Phone:469-320-1267
Practice Address - Fax:945-242-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty