Organization Name:  US VASCULAR ACCESS CENTER OF DALLAS,LLC


Practice Location:
3604 LIVE OAK ST SUITE 300 DALLAS, TX 75204 US
Tel: 214-826-4224  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	TX	007187

Other Provider Identifiers:

Issuer	Number	State	Type
	1416422	TX	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin