Organization
HOUSTON VEIN AND VASCULAR PLLC
Active
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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