Organization
VEIN RESTORATION GROUP, INC.
Active
Other names
Total Leg Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT G TESORIERO M.D. (PRESIDENT CEO)
(972) 964-5347
Entity
Organization
Contact information
Practice address
2828 W PARKER RD, SUITE B106F, PLANO, TX 75075-9153
(972) 964-5347
(972) 599-1853
Mailing address
PO BOX 865028, PLANO, TX 75086-5028
(972) 964-5347
(972) 599-1853
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090PG
BCBS
TX
Enumeration date
11/13/2006
Last updated
07/12/2007
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