# UNITED VASCULAR OF HUNTSVILLE, LLC

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

## Provider details

- **NPI number:** 1629647268
- **Authorized official:** KRISTY MUSIC (AO-DIRECTOR OF PHYSICIAN CREDENTIAL)
- **Authorized official phone:** (615) 465-7377

## Contact information

- **Practice address:** 4700 WHITESBURG DR SW STE 300, HUNTSVILLE, AL 35802-1685
- **Practice address phone:** (256) 692-5100
- **Practice address fax:** (256) 288-3980
- **Mailing address:** 4700 WHITESBURG DR SW STE 300, HUNTSVILLE, AL 35802-1685
- **Mailing address phone:** (256) 692-5100
- **Mailing address fax:** (256) 288-3980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2021
- **Last updated:** 08/14/2024
