Organization
MOBILE VASCULAR ACCESS TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANDREA SCOTT (OWNER)
(214) 949-3640
Entity
Organization
Contact information
Practice address
420 WOLFE ST, CEDAR HILL, TX 75104-5130
(214) 949-3640
Mailing address
420 WOLFE ST, CEDAR HILL, TX 75104-5130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
—
163WE0900X
Enterostomal Therapy Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
163WW0000X
Wound Care Registered Nurse
—
—
163WX1500X
Ostomy Care Registered Nurse
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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