Provider Demographics
NPI:1841657129
Name:THORACIC AND VASCULAR CONSULTANTS, LLC
Entity type:Organization
Organization Name:THORACIC AND VASCULAR CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-288-0583
Mailing Address - Street 1:4531 BELMONT AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1051
Mailing Address - Country:US
Mailing Address - Phone:330-288-0583
Mailing Address - Fax:330-288-0586
Practice Address - Street 1:4531 BELMONT AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1051
Practice Address - Country:US
Practice Address - Phone:330-288-0583
Practice Address - Fax:330-288-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty