Southwest Vascular and Surgical Group
NPI 1639236425ActiveOrganization· Surgery· Dallas, TX
Surgery in Dallas, Texas, registered in NPPES in January 2007. The authorized official on file is Tanya S. Green, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639236425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2007 |
| Last updated in NPPES | Mar 30, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | E6012 | TX |
| Surgery | 208600000X | J0020 | TX |
| Surgery | 208600000X | J3706 | TX |
| Surgery | 208600000X | K9914 | TX |
| Surgery, Vascular Surgery | 2086S0129X | L3839 | TX |
| Surgery, Surgical Oncology | 2086X0206X | H2239 | TX |
| Colon & Rectal Surgery | 208C00000X | K7546 | TX |
| Colon & Rectal Surgery | 208C00000X | E3311 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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