Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Southwest Vascular and Surgical Group

Organization Surgery Physician · NPI 1639236425

Southwest Vascular and Surgical Group provides Surgery Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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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