Organization
HOUSTON VEIN AND VASCULAR PLLC
Active
Other names
Houston vein and vascular
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA GOODRUM (ADMINISTRATIVE ASSISTANT)
(479) 242-2562
Entity
Organization
Contact information
Practice address
6565 WEST LOOP S STE 110, BELLAIRE, TX 77401-3505
(713) 242-3000
Mailing address
5707 JENNY LIND RD, FORT SMITH, AR 72908-7435
(479) 452-9416
(479) 242-1990
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
01/17/2025
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