Organization
HOUSTON PHYSICIAN SPECIALISTS, LLC
Active
Other names
Houston Vascular Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN STEVEN WHILDEN (VP / CFO)
(478) 542-7959
Entity
Organization
Contact information
Practice address
233 N HOUSTON RD STE 173, WARNER ROBINS, GA 31093
(478) 975-6004
Mailing address
1601 WATSON BLVD, WARNER ROBINS, GA 31093-3431
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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