NPI age
7 years
Enumerated 2019-03-12
● Active Type 2 · Organization
Southwest Vascular P.c.
Southwest Vascular P.c. is 1 of 489 surgery organizations in Texas.
Primary specialty
Surgery
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Providenza
Admistrator
Last NPPES update
2019-03-12
Source: monthly bulk 2026-05
How this organization compares
Across 489 active surgery providers in Texas.
NPI age
7 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 49% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
4375 Booth Callaway Suite 501
Fort Worth, TX 76180
Mailing address
2737 South Hulen Street
Fort Worth, TX 76109
Authorized official
Martha Providenza
Admistrator
📞 8176149552
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
-
SurgeryA 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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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