Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peripheral Vascular Associates, PA

Organization Interventional Cardiology Physician · NPI 1396791570

Peripheral Vascular Associates, PA is an Interventional Cardiology Physician in San Antonio, Texas. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
11
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

610 N Main Avenue 2nd Fl
San Antonio, TX 78205-1204
Phone: (210) 237-4492
Fax: (210) 828-0590
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Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Interventional Cardiology Physician Taxonomy 207RI0011X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Surgery Physician Taxonomy 208600000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Prosthetist Taxonomy 224P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1396791570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phyllis Davenport — Administrator · (210) 237-4492
NPI enumeratedMay 26, 2006
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address610 North Main, Second Floor, San Antonio, TX 78205-1204

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