Organization
WOODLANDS VASCULAR ACCESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J WALLS MD (OWNER)
(936) 271-3400
Entity
Organization
Contact information
Practice address
17191 ST LUKES WAY STE 280, CONROE, TX 77384-8043
(832) 928-6993
(913) 904-3422
Mailing address
17191 ST LUKES WAY STE 280, THE WOODLANDS, TX 77384-8043
(936) 202-1260
(913) 904-3422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
11/06/2014
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