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VASCULAR DIAGNOSTIC LABORATORY NPI 1598727331


NPI Information

NPI: 1598727331
Provider Name: VASCULAR DIAGNOSTIC LABORATORY
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
6565 FANNIN
F922
HOUSTON, TX
ZIP 77030
Phone: (713) 978-8651
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VASCULAR DIAGNOSTIC LABORATORY is a vascular surgery surgery in Houston, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR DIAGNOSTIC LABORATORY NPI is 1598727331. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6565 FANNIN
F922
HOUSTON, TX
ZIP 77030-707
Phone: (713) 978-8651
Fax: (713) 798-8252

The provider's authorized official is Charles Holmes Mccollum .
The authorized official title is Co Director and has the following contact phone number (713) 798-8651.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 12/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
2208600000XSurgeryNo
32086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100JS22MEDICARE PINTEXAS
2CJ9705MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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