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

Southwest Vascular and Surgical Group

Organization Surgery Physician · NPI 1639236425

Southwest Vascular and Surgical Group is a Surgery Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
8
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Practice location Address checks out

7777 Forest Ln Ste C-760
Dallas, TX 75230-6801
Phone: (972) 566-8039
Fax: (972) 566-2312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence E6012 (TX)
Surgery Physician Taxonomy 208600000X · Licence J0020 (TX)
Surgery Physician Taxonomy 208600000X · Licence J3706 (TX)
Surgery Physician Taxonomy 208600000X · Licence K9914 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence L3839 (TX)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence H2239 (TX)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence K7546 (TX)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence E3311 (TX)

Record details

NPI number1639236425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanya Green — Practice Manager · (972) 566-8039
Other names Dallas Surgical Group
NPI enumeratedJanuary 2, 2007
Last updated in NPPESMarch 30, 2009
Mailing address7777 Forest Lane, Suite C-760, Dallas, TX 75230-6801

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