Organization
COSMETIC VEIN CENTERS OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD SKELLENGER M.D. (PRESIDENT)
(281) 990-8346
Entity
Organization
Contact information
Practice address
445 BAY AREA BLVD, HOUSTON, TX 77058-2622
(281) 990-8346
(281) 990-9984
Mailing address
445 BAY AREA BLVD, HOUSTON, TX 77058-2622
(281) 990-8346
(281) 990-9984
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
E6620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC4826
MEDICARE RAILROAD
TX
Enumeration date
11/06/2007
Last updated
07/29/2008
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