Organization
SAN ANTONIO VASCULAR SPECIALISTS CORP
Active
Organization
SAN ANTONIO VASCULAR SPECIALISTS CORP
Active
Other names
Modern Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
YURY GAMPEL (MANAGER)
(818) 262-6423
Entity
Organization
Contact information
Practice address
9819 HUEBNER RD BLDG 4, SAN ANTONIO, TX 78240-3253
(210) 761-8775
(210) 519-0216
Mailing address
26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
(818) 880-8605
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
—
Other
Enumeration date
05/14/2019
Last updated
10/05/2020
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