| Venus Breast Center Pllc | |
|
1230 N Kimball Ave Ste 130 Southlake TX 76092-4750 | |
| (817) 704-0783 | |
| (817) 704-0755 |
| Full Name | Venus Breast Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1230 N Kimball Ave Ste 130, Southlake, Texas |
| Authorized Official Name and Position | Miral Sapan Amin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2487603339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Venus Breast Center Pllc 1230 N Kimball Ave Ste 130 Southlake TX 76092-4750 Ph: (817) 704-0783 | Venus Breast Center Pllc 1230 N Kimball Ave Ste 130 Southlake TX 76092-4750 Ph: (817) 704-0783 |
| NPI Number | 1710745559 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 11/04/2025 |
| Medicare PECOS PAC ID | 7012457609 |
|---|---|
| Medicare Enrollment ID | O20240910002509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710745559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Miral Amin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1699943720 PECOS PAC ID: 8426173766 Enrollment ID: I20220817000041 |
Mediclink Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-506-4132 | |
Health Matters Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 River Oaks Drive, #100, Southlake, TX 76092 Phone: 505-220-6814 | |
Southlake Hospitalists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1321 Bay Meadows Dr, Southlake, TX 76092 Phone: 817-521-4747 Fax: 214-279-9273 | |
Rod Sosa Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Woodbury Ct, Southlake, TX 76092 Phone: 972-352-0920 | |
Modern Medical House Calls Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 855 Davis Blvd Ste 500, Southlake, TX 76092 Phone: 817-912-1771 Fax: 940-241-6156 | |
Healthcare Associates Of Southlake Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2106 E State Highway 114, Ste 300, Southlake, TX 76092 Phone: 817-552-4300 | |
Melville Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd Ste 110, Southlake, TX 76092 Phone: 817-600-8725 |