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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