Organization
ELITE VEIN HARVESTERS & STAFFING L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE VILLARREAL LSA (CEO)
(361) 459-9680
Entity
Organization
Contact information
Practice address
2425 SHAFTSBURY DR, CORPUS CHRISTI, TX 78415-4483
(361) 459-9680
Mailing address
2425 SHAFTSBURY DR, CORPUS CHRISTI, TX 78415-4483
(361) 459-9680
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/13/2021
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