Provider Demographics
NPI:1538452180
Name:VANGUARD VASCULAR & VEIN, PLLC
Entity type:Organization
Organization Name:VANGUARD VASCULAR & VEIN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:YAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-487-1818
Mailing Address - Street 1:7700 LAKEVIEW PKWY
Mailing Address - Street 2:BUILDING 300, STE C
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4355
Mailing Address - Country:US
Mailing Address - Phone:972-487-1818
Mailing Address - Fax:972-487-7928
Practice Address - Street 1:7700 LAKEVIEW PKWY
Practice Address - Street 2:BUILDING 300, STE C
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4355
Practice Address - Country:US
Practice Address - Phone:972-487-1818
Practice Address - Fax:972-487-7928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL34422086S0129X
TXK28292086S0129X
2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI59799Medicare UPIN
TXH80923Medicare UPIN