Provider Demographics
NPI:1336633999
Name:TOTAL VEIN TREATMENT CENTERS
Entity Type:Organization
Organization Name:TOTAL VEIN TREATMENT CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:NAIFEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-632-2606
Mailing Address - Street 1:5637 CROWNDALE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8502
Mailing Address - Country:US
Mailing Address - Phone:214-632-2606
Mailing Address - Fax:
Practice Address - Street 1:10 MEDICAL PKWY STE 106
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-7838
Practice Address - Country:US
Practice Address - Phone:214-632-2606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE14712086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty