# DREAM VEIN CLINIC PLLC

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

## Provider details

- **NPI number:** 1417734229
- **Authorized official:** DR. JASMINE JAMIN KOO MD (CEO)
- **Authorized official phone:** (206) 450-6845

## Contact information

- **Practice address:** 1601 E PFLUGERVILLE PKWY BLDG 3, PFLUGERVILLE, TX 78660-2799
- **Practice address phone:** (206) 450-6845
- **Mailing address:** 1601 E PFLUGERVILLE PKWY STE 3201, PFLUGERVILLE, TX 78660-7349
- **Mailing address phone:** (206) 450-6845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 11/18/2024