# PRECISION VEIN THERAPEUTICS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003323619
- **Authorized official:** MICHAEL ROSS BARLOW MD (OWNER)
- **Authorized official phone:** (205) 243-6264

## Contact information

- **Practice address:** 4112 WATERMELON RD, NORTHPORT, AL 35473
- **Practice address phone:** (205) 710-3800
- **Mailing address:** 3504 COLD HARBOR LN, MOUNTAIN BRK, AL 35223-1636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 202K00000X | Phlebology Physician | — | — | Yes |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 02/22/2018
