Provider Demographics
NPI:1467585786
Name:DFW VASCULAR GROUP LLP
Entity type:Organization
Organization Name:DFW VASCULAR GROUP LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-946-5165
Mailing Address - Street 1:2801 BOLTON BOONE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2041
Mailing Address - Country:US
Mailing Address - Phone:972-296-2122
Mailing Address - Fax:972-296-2522
Practice Address - Street 1:2801 BOLTON BOONE DR STE 105
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2041
Practice Address - Country:US
Practice Address - Phone:972-296-2122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB145801OtherMEDICARE PIN
TX0045PSOtherBCBS
TXDG3237OtherRAILROAD MEDICARE
TX00X866OtherMEDICARE PIN