Organization
VASCULAR AND INTERVENTIONAL RADIOLOGY OF AMERICA
Active
Other names
Alate Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WEN DOE (PRACTICE ADMINISTRATOR)
(315) 323-0236
Entity
Organization
Contact information
Practice address
1213 HERMANN DR, SUITE 255, HOUSTON, TX 77004-7018
(713) 955-1707
(713) 955-1699
Mailing address
1213 HERMANN DR STE 255, HOUSTON, TX 77004-7074
(713) 955-1707
(713) 955-1699
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342319601
—
TX
Enumeration date
09/12/2012
Last updated
03/03/2021
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