John Gregory Modrall in Dallas - Vascular Surgery
John Gregory Modrall - NPI 1457435398
John Gregory Modrall is a Vascular Surgery in Dallas, Texas. John Gregory Modrall practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for John Gregory Modrall is 1457435398. The last update date is 2015-10-19.
John Gregory Modrall's current location address is Po Box 845347, Dallas, Texas. You can contact this provider via phone number 2146450545 and fax number 2146450546. The mailing address for John Gregory Modrall is Po Box 845347, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Gregory Modrall |
|---|---|
| Address | Po Box 845347, Dallas, Texas |
| Phone Number | 2146450545 |
| Fax Number | 2146450546 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457435398 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2015-10-19 |
Provider Mailing Address Detail
| Address | Po Box 845347 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752845347 |
| Phone Number | 2146450545 |
| Fax Number | 2146450546 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | K6159 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8D1525 | TX | MEDICARE | |
| 106174903 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Gregory Modrall by the Centers for Medicare & Medicaid Services?
The John Gregory Modrall has been issued the NPI (National Provider Identifier) 1457435398 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the John Gregory Modrall's physical address?
The John Gregory Modrall is physically located at Po Box 845347, in the city of Dallas, TX, with the postal code 752845347.
What is the John Gregory Modrall's specialty and taxonomy code?
The John Gregory Modrall's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457435398 to John Gregory Modrall?
The Centers for Medicare & Medicaid Services originally issued the 1457435398 to John Gregory Modrall on 2006-10-25.
When was the John Gregory Modrall's information last updated?
The John Gregory Modrall's information was last updated on 2015-10-19.
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