Individual provider · Type 1 NPI

John Gregory Modrall, MD

Vascular Surgery Physician · Dallas, TX

NPI number 1457435398 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7208

Call (214) 645-0538 Map

Fax (214) 645-0546

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XK6159 (TX)
Vascular Surgery Physician Primary 2086S0129XK6159 (TX)
Vascular Surgery Physician 2086S0129XE-7074 (AR)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1457435398

John Gregory Modrall, MD's National Provider Identifier is 1457435398, issued on Oct 25, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Dallas, TX. The record was last updated on Oct 19, 2015.