Provider Demographics
NPI:1972782118
Name:SOUTHHWEST VEIN INSTITUTE
Entity type:Organization
Organization Name:SOUTHHWEST VEIN INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:FRIGGARD
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-566-7492
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE B248
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2505
Mailing Address - Country:US
Mailing Address - Phone:972-566-7492
Mailing Address - Fax:972-566-3858
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE B248
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-566-7492
Practice Address - Fax:972-566-3858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5822174400000X
TXE0644174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty