FORT WORTH VASCULAR AND SURGICAL ASSOCIATES, PA
NPI 1851668925
Surgery - Vascular Surgery in Fort Worth, TX

Active since November 17, 2011
2737 S HULEN ST, FORT WORTH, TX 76109(817) 332-7544(817) 338-9441 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2024, Apr 25, 2022 (2 updates tracked since 2022).

About Fort Worth Vascular And Surgical Associates, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WORTH VASCULAR AND SURGICAL ASSOCIATES, PA (NPI 1851668925) is a healthcare organization registered as a vascular surgery in Fort Worth, Texas and active in the NPI registry since November 2011. The organization lists Martha E Providenza, Administration, as its authorized official.

NPPES Registry Identity

NPI1851668925
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameFORT WORTH VASCULAR AND SURGICAL ASSOCIATES, PA
Location Address2737 S HULEN STFort Worth, TX 76109-9535
Mailing Address2737 S Hulen StFort Worth, TX 76109-9535 · (817) 927-5627 · Fax (817) 927-7568
Fax(817) 338-9441
Organization SubpartNo
Authorized OfficialMartha E ProvidenzaAdministration · (817) 614-9552
Enumeration DateNovember 17, 2011
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
NPI 1851668925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in TX · J6980
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2737 S HULEN ST, Fort Worth, TX 76109

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
2737 S HULEN ST
FORT WORTH, TX 76109
Radiologic Technologist (Sonography)
2737 S HULEN ST
FORT WORTH, TX 76109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Worth Vascular And Surgical Associates, PA's NPI number?

The NPI number for Fort Worth Vascular And Surgical Associates, PA is 1851668925. It was assigned to this organization in the NPPES registry on November 17, 2011.

Where is Fort Worth Vascular And Surgical Associates, PA located?

Fort Worth Vascular And Surgical Associates, PA is located at 2737 S Hulen St, Fort Worth, TX 76109. The listed phone number is (817) 332-7544.

What is Fort Worth Vascular And Surgical Associates, PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Fort Worth Vascular And Surgical Associates, PA was last updated on November 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.