Provider Demographics
NPI:1427567528
Name:GV SURGICAL, PLLC
Entity Type:Organization
Organization Name:GV SURGICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:C
Authorized Official - Last Name:VALENTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-384-1642
Mailing Address - Street 1:3160 N TARRANT PKWY STE 404
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-8614
Mailing Address - Country:US
Mailing Address - Phone:469-629-5031
Mailing Address - Fax:888-992-6199
Practice Address - Street 1:3160 NORTH TARRANT PARKWAY
Practice Address - Street 2:
Practice Address - City:FT. WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177
Practice Address - Country:US
Practice Address - Phone:469-629-5031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7365207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty