Organization
VASCULAR & INTERVENTIONAL SP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R TURLEY MD (PRESIDENT)
(936) 539-4031
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER BLVD, SUITE 118, CONROE, TX 77304-2888
(936) 539-4031
(936) 539-4537
Mailing address
100 MEDICAL CENTER BLVD, SUITE 105, CONROE, TX 77304-2888
(936) 539-6497
(936) 539-4612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K3506
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026HS
BLUE CROSS BLUE SHIELD TX
TX
05
—
157878301
—
TX
Enumeration date
05/12/2006
Last updated
05/13/2008
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