Organization
XCEPTIONAL POST ACUTE CARE PLLC
Active
Organization
XCEPTIONAL POST ACUTE CARE PLLC
Active
Other names
XPAC MOBILE VASCULAR ACCESS
Organization subpart
No
Provider details
NPI number
Authorized official
IVO KELLI ACHUO NP (NP)
(128) 185-7520
Entity
Organization
Contact information
Practice address
105 S CHENANGO ST STE 2, ANGLETON, TX 77515-6080
(281) 857-5201
Mailing address
9819 WRIGHT DR, MANVEL, TX 77578-1756
(281) 857-5201
Taxonomy
Speciality
Code
Description
License number
State
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
08/20/2020
Last updated
05/21/2024
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