Provider Demographics
NPI:1750965554
Name:COMPLEX VEIN AND VASCULAR SPECIALISTS, PLLC
Entity type:Organization
Organization Name:COMPLEX VEIN AND VASCULAR SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALHANICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-499-6906
Mailing Address - Street 1:12740 HILLCREST RD STE 272
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2011
Mailing Address - Country:US
Mailing Address - Phone:469-780-2300
Mailing Address - Fax:972-848-0644
Practice Address - Street 1:12740 HILLCREST RD STE 265
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2086
Practice Address - Country:US
Practice Address - Phone:469-780-2300
Practice Address - Fax:469-780-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty