SOUTHWEST VASCULAR P.C. – NPI #1093273781
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

SOUTHWEST VASCULAR P.C. is a surgeon located in FORT WORTH, TX. NPPES has assigned the NPI number 1093273781 to SOUTHWEST VASCULAR P.C. on March 12, 2019. 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 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

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 SOUTHWEST VASCULAR P.C. below.

NPI Profile for
SOUTHWEST VASCULAR P.C.

NPI Number
1093273781
Enumeration Date

(more than 7 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
SOUTHWEST VASCULAR P.C.
Primary location
4375 BOOTH CALLAWAY SUITE 501
FORT WORTH, TX 76180
Phone: (817) 770-0608 Fax:
Mailing address
2737 SOUTH HULEN STREET
FORT WORTH, TX 76109
Phone: (817) 770-0608 Fax:
Organization Subpart
No
Authorized Official
MARTHA PROVIDENZA
ADMISTRATOR
Phone: (817) 614-9552
Updated
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
2086S0129X
- Surgery / Vascular Surgery (Primary)
208600000X
- Surgery

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.