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Vascular & Interventional Sp
Specialist in Conroe, Texas
NPI 1801847330

Vascular & Interventional Sp is a Specialist based in Conroe, TX. Vascular & Interventional Sp practices in Conroe, TX. The NPI Number for Vascular & Interventional Sp is 1801847330 and holds a License No. K3506 (Texas).

The current practice location address for Vascular & Interventional Sp is 100 Medical Center Blvd, Conroe, TX and can be reached out via phone at 936-539-4031 and via fax at 936-539-4537.

Location: 100 Medical Center Blvd, Conroe, TX, 77304-2888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801847330
Provider Name
Vascular & Interventional Sp
Credential
Provider Entity Type
Organization
Address
100 Medical Center Blvd, Conroe, TX, 77304-2888
Phone Number
936-539-4031
Fax Number
936-539-4537
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
157878301 05 TX
0026HS 01 TX BLUE CROSS BLUE SHIELD TX
institution
Provider Business Practice Location Address Details
Address
100 Medical Center Blvd
City
Conroe
State
Texas
Zip
77304-2888
Phone Number
936-539-4031
Fax Number
936-539-4537
person
Provider Business Mailing Address Details
Address
100 Medical Center Blvd
City
Conroe
State
Texas
Zip
77304-2888
Phone Number
936-539-4031
Fax Number
936-539-4537
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
K3506 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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