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Organization
VASCULAR AND INTERVENTIONAL RADIOLOGY OF AMERICA
Active
Organization
VASCULAR AND INTERVENTIONAL RADIOLOGY OF AMERICA
Active
Other names
Alate Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WEN DOE (PRACTICE ADMINISTRATOR)
(315) 323-0236
Entity
Organization
Contact information
Practice address
1213 HERMANN DR, SUITE 255, HOUSTON, TX 77004-7018
(713) 955-1707
(713) 955-1699
Mailing address
1213 HERMANN DR STE 255, HOUSTON, TX 77004-7074
(713) 955-1707
(713) 955-1699
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
09/12/2012
Last updated
03/03/2021
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