Organization
VE INNOVATIVE RESOURCE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE MCCOMMON (OFFICE MANAGER)
(866) 787-8219
Entity
Organization
Contact information
Practice address
7500 RIALTO BLVD, BLDG 1 STE 250, AUSTIN, TX 78735-4796
(866) 787-8219
Mailing address
7500 RIALTO BLVD, BLDG 1 STE 250, AUSTIN, TX 78735-4796
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2215062
CLIA
TX
Enumeration date
05/13/2021
Last updated
05/13/2021
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