John Gregory Modrall, MD
John Gregory Modrall, MD is a Vascular Surgery in Dallas, Texas. Graduated from University of Colorado School of Medicine, Denver in 1989, 37 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.
- Years since qualifying
- 37
- Trained at
- University of Colorado School of Medicine, Denver
- Licensed in
- AR, TX
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5323 Harry Hines BlvdDallas, TX 75390-7208
Phone: (214) 645-0538
Fax: (214) 645-0546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence K6159 (TX) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence K6159 (TX) |
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence E-7074 (AR) |
Record details
| NPI number | 1457435398 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 25, 2006 |
| Last updated in NPPES | October 19, 2015 |
| Mailing address | Po Box 845347, Dallas, TX 75284-5347 |
Medicare enrollment
| Medicare specialty | VASCULAR SURGERY |
|---|---|
| Medical school | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER |
| Graduated | 1989 (37 years in practice) |
| Group practice | University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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