John Gregory Modrall, MD
Vascular Surgery Physician · Dallas, TX
Practice location
5323 Harry Hines BlvdDallas, TX 75390-7208
- Phone
- (214) 645-0538
- Fax
- (214) 645-0546
NPI record
- NPI
- 1457435398
- Entity type
- Individual (Type 1)
- Enumeration date
- October 25, 2006
- Last updated
- October 19, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X |
K6159 | TX |
| Surgery Physician | 208600000X |
K6159 | TX |
| Vascular Surgery Physician | 2086S0129X |
E-7074 | AR |
Mailing address
PO Box 845347Dallas, TX 75284-5347
- Phone
- (214) 645-0545
- Fax
- (214) 645-0546
About Dr. Modrall
John Gregory Modrall, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Vascular Surgery Physician (code 2086S0129X). The practice location is 5323 Harry Hines Blvd, Dallas, TX 75390-7208. The NPI number 1457435398 was assigned on October 25, 2006 and the record was last updated on October 19, 2015.
Dr. Modrall lists 3 licenses in the registry: #K6159 (TX) for Vascular Surgery Physician; #K6159 (TX) for Surgery Physician; #E-7074 (AR) for Vascular Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of John Gregory Modrall, MD?
The NPI number is 1457435398.
What is the phone number of Dr. Modrall?
The phone number listed for the practice location is (214) 645-0538.
Where is Dr. Modrall located?
5323 Harry Hines Blvd, Dallas, TX 75390-7208.
What is the taxonomy code for Dr. Modrall?
The primary taxonomy code is 2086S0129X – Vascular Surgery Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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