| North Texas Vascular & Varicose | |
|
1518 Legacy Drive Suite 120 Frisco TX 75034 | |
| (972) 378-5347 | |
| (972) 378-0916 |
| Full Name | North Texas Vascular & Varicose |
|---|---|
| Speciality | Clinic/Center |
| Location | 1518 Legacy Drive, Frisco, Texas |
| Authorized Official Name and Position | Mark A. Mcquaid (PRESIDENT/OWNER) |
| Authorized Official Contact | 9723785347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Vascular & Varicose 1518 Legacy Drive Suite 120 Frisco TX 75034 Ph: (972) 378-5347 | North Texas Vascular & Varicose 1518 Legacy Drive Suite 120 Frisco TX 75034 Ph: (972) 378-5347 |
| NPI Number | 1942471073 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 1658441316 |
|---|---|
| Medicare Enrollment ID | O20080718000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942471073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | J2201 (Texas) | Primary |
| Provider Name | Randy L Morton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497861496 PECOS PAC ID: 9335130004 Enrollment ID: I20040520001411 |
| Provider Name | Mark A Mcquaid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760439400 PECOS PAC ID: 8820044936 Enrollment ID: I20050323000280 |
| Provider Name | John A Skiendzielewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942249586 PECOS PAC ID: 9335112127 Enrollment ID: I20140319001589 |
| Provider Name | Colleen Afadama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902392483 PECOS PAC ID: 4789924945 Enrollment ID: I20190326000834 |
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