# MEMORIAL VEIN CENTER

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

## Provider details

- **NPI number:** 1902142466
- **Authorized official:** DR. URIEL MUSHIN MD, PA (MEDICAL DIRECTOR)
- **Authorized official phone:** (713) 722-7400

## Contact information

- **Practice address:** 10504 KATY FWY, HOUSTON, TX 77043-5107
- **Practice address phone:** (713) 722-7400
- **Practice address fax:** (713) 722-9156
- **Mailing address:** 10504 KATY FWY, HOUSTON, TX 77043-5107
- **Mailing address phone:** (713) 722-7400
- **Mailing address fax:** (713) 722-9156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 608495 | TX | Yes |

## Other

- **Enumeration date:** 01/02/2013
- **Last updated:** 01/02/2013
