A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
TX license #S1185taxonomy 2086S0129X
Surgery
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
CA license #A124932taxonomy 208600000X
Identifiers
Type
Value
Notes
05 (TX)
400328701
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Vascular Surgery
Plus 2 additional
Medical school
University Of Illinois College Of Med (chi/peor/rock/chm-Urb)
Graduation year 2011
Telehealth
Listed by CMS
Confirm current availability with the practice
Largest Medicare group
50 members
Largest listed enrollment group
Facility affiliations reported by CMS
Surgery Associates Of Ntx Pllc
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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