Organization · NPI-2

Advantage Vascular Physicians Group INC

· Dallas, TX

NPI number1063139533
StatusActive
Last updated in NPPESOct 25, 2022

Details

NPI
1063139533
Entity type
Organization (NPI-2)
Legal business name
Advantage Vascular Physicians Group INC
Organization subpart
No
Enumeration date
Oct 25, 2022
Certification date
Oct 25, 2022
Last updated
Oct 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X ––Yes
207RI0011X Internal Medicine, Interventional Cardiology––

Practice location

17110 Dallas Pkwy Ste 105
Dallas, TX 75248-1146

Phone 972-483-5714

Mailing address

17110 Dallas Pkwy Ste 105
Dallas, TX 75248-1146

Phone 972-483-5714

Other practice locations

2701 S Hampton Rd
Dallas, TX 75224-2367

Phone 972-483-5714

Authorized official

Joachim Fiihr
Ceo
9724835714

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