# INTERVENTIONAL VASCULAR CENTER LLC

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

## Provider details

- **NPI number:** 1699925818
- **Authorized official:** MR. SUNIL P REDDY (PRESIDENT, COO)
- **Authorized official phone:** (512) 909-8316

## Contact information

- **Practice address:** 5602 MEDICAL CENTER DR, KATY, TX 77494-6325
- **Practice address phone:** (210) 299-4440
- **Practice address fax:** (210) 299-4442
- **Mailing address:** 6906 SIR LANCELOT, CORPUS CHRISTI, TX 78413-5301
- **Mailing address phone:** (512) 909-8316
- **Mailing address fax:** (361) 334-3926

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 09/30/2008