FORT WORTH VASCULAR SPECIALISTS CORP – NPI #1396370334
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

FORT WORTH VASCULAR SPECIALISTS CORP is a radiologist located in FORT WORTH, TX. NPPES has assigned the NPI number 1396370334 to FORT WORTH VASCULAR SPECIALISTS CORP on March 10, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 6 years ago on Jun 05, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORT WORTH VASCULAR SPECIALISTS CORP below.

NPI Profile for
FORT WORTH VASCULAR SPECIALISTS CORP

NPI Number
1396370334
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORT WORTH VASCULAR SPECIALISTS CORP
Primary location
5750 STRATUM DR
FORT WORTH, TX 76137-2757
Phone: (817) 989-2580 Fax: (817) 989-6555
Mailing address
26500 AGOURA RD STE 102-587
CALABASAS, CA 91302-1952
Phone: (818) 880-8605 Fax: (818) 579-7916
Organization Subpart
No
Authorized Official
YURY GAMPEL
MANAGER
Phone: (818) 880-8605
Updated
Certification Date
Jun 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)
2471V0106X
- Radiologic Technologist / Vascular-Interventional Technology Radiologic Technologist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.