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CDVA PLLC NPI 1447869714


NPI Information

NPI: 1447869714
Provider Name: CDVA PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4301 VISTA RD STE 109
PASADENA, TX
ZIP 77504
Phone: (832) 781-0000
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CDVA PLLC is a vascular surgery surgery in Pasadena, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CDVA PLLC NPI is 1447869714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4301 VISTA RD STE 109
PASADENA, TX
ZIP 77504-117
Phone: (832) 781-0000
Fax: (832) 781-1000

The provider's authorized official is Danel Monroe .
The authorized official title is Coo and has the following contact phone number (832) 317-9249.

The enumeration date for this NPI number is 7/23/2020 and was last updated on 10/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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